NPI Code Detail JSON Logo

1255900585 NPI number — VICTORIA ZYLSTRA LOPEZ MD

NPI Number: 1255900585
Health Care Provider/Practitioner: VICTORIA ZYLSTRA LOPEZ MD

Information about “1255900585” NPI (VICTORIA ZYLSTRA LOPEZ MD) exists in 1255900585 in HTML format HTML  |  1255900585 in plain Text format TXT  |  1255900585 in PDF (Portable Document Format) PDF  |  1255900585 in an XML format XML  formats.

NPI Number : 1255900585 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255900585",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOPEZ",
    "FirstName": "VICTORIA",
    "MiddleName": "ZYLSTRA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ZYLSTRA",
    "OtherFirstName": "VICTORIA",
    "OtherMiddleName": "NICOLE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1530 PIONEER AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTERVILLE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93257-1125",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "209-480-0146",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "465 W PUTNAM AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTERVILLE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93257-3320",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "559-784-1110",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/21/2021",
    "LastUpdateDate": "03/21/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208D00000X",
          "TaxonomyName": "General Practice Physician",
          "LicenseNumber": "A191603",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "A191603",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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