NPI Code Detail JSON Logo

1285771857 NPI number — GLENDA FAYE UMALI MD

NPI Number: 1285771857
Health Care Provider/Practitioner: GLENDA FAYE UMALI MD

Information about “1285771857” NPI (GLENDA FAYE UMALI MD) exists in 1285771857 in HTML format HTML  |  1285771857 in plain Text format TXT  |  1285771857 in PDF (Portable Document Format) PDF  |  1285771857 in an XML format XML  formats.

NPI Number : 1285771857 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285771857",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "UMALI",
    "FirstName": "GLENDA",
    "MiddleName": "FAYE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MATSUMURA",
    "OtherFirstName": "GLENDA",
    "OtherMiddleName": "FAYE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9127 W RUSSELL RD STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89148-1253",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-878-0070",
    "MailingAddressFaxNumber": "702-209-2064",
    "FirstLinePracticeLocationAddress": "1600 MEDICAL PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARSON CITY",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89703",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-878-0070",
    "PracticeLocationAddressFaxNumber": "702-209-2064",
    "EnumerationDate": "01/31/2007",
    "LastUpdateDate": "08/14/2018",
    "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": "207L00000X",
        "TaxonomyName": "Anesthesiology Physician",
        "LicenseNumber": "8052",
        "LicenseNumberStateCode": "NV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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