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1306736855 NPI number — JENNIFER NEGRON PAYNE PTA

NPI Number: 1306736855
Health Care Provider/Practitioner: JENNIFER NEGRON PAYNE PTA

Information about “1306736855” NPI (JENNIFER NEGRON PAYNE PTA) exists in 1306736855 in HTML format HTML  |  1306736855 in plain Text format TXT  |  1306736855 in PDF (Portable Document Format) PDF  |  1306736855 in an XML format XML  formats.

NPI Number : 1306736855 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306736855",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PAYNE",
    "FirstName": "JENNIFER",
    "MiddleName": "NEGRON",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PTA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NEGRON",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "MICHELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PTA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6523 3RD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90043-4552",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-893-4592",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "23430 HAWTHORNE BLVD STE 105",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TORRANCE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90505-4777",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-791-3812",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/07/2025",
    "LastUpdateDate": "07/07/2025",
    "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": "225200000X",
        "TaxonomyName": "Physical Therapy Assistant",
        "LicenseNumber": "10250",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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