NPI Code Detail JSON Logo

1235273749 NPI number — DAVE MALLARI USMAN DNP, FNP-C

NPI Number: 1235273749
Health Care Provider/Practitioner: DAVE MALLARI USMAN DNP, FNP-C

Information about “1235273749” NPI (DAVE MALLARI USMAN DNP, FNP-C) exists in 1235273749 in HTML format HTML  |  1235273749 in plain Text format TXT  |  1235273749 in PDF (Portable Document Format) PDF  |  1235273749 in an XML format XML  formats.

NPI Number : 1235273749 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235273749",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "USMAN",
    "FirstName": "DAVE",
    "MiddleName": "MALLARI",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "DNP, FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8672 BELMONT ST APT A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CYPRESS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90630-6026",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-269-2022",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1621 S ALAMEDA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COMPTON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90220-4973",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-631-3735",
    "PracticeLocationAddressFaxNumber": "310-638-1326",
    "EnumerationDate": "02/16/2007",
    "LastUpdateDate": "09/26/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LC1500X",
          "TaxonomyName": "Community Health Nurse Practitioner",
          "LicenseNumber": "NP95008930",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "95008930",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.