NPI Code Detail JSON Logo

1326114372 NPI number — ROSALVA VEGA VARGAS-GLADEN PH.D.

NPI Number: 1326114372
Health Care Provider/Practitioner: ROSALVA VEGA VARGAS-GLADEN PH.D.

Information about “1326114372” NPI (ROSALVA VEGA VARGAS-GLADEN PH.D.) exists in 1326114372 in HTML format HTML  |  1326114372 in plain Text format TXT  |  1326114372 in PDF (Portable Document Format) PDF  |  1326114372 in an XML format XML  formats.

NPI Number : 1326114372 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326114372",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VARGAS-GLADEN",
    "FirstName": "ROSALVA",
    "MiddleName": "VEGA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VARGAS",
    "OtherFirstName": "ROSALVA",
    "OtherMiddleName": "VEGA",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PH.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "240 MONROE DR",
    "SecondLineMailingAddress": "#407",
    "MailingAddressCityName": "MOUNTAIN VIEW",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94040-1067",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "650-804-1736",
    "MailingAddressFaxNumber": "408-846-2419",
    "FirstLinePracticeLocationAddress": "290 I O O F AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GILROY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95020-5204",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "408-846-2416",
    "PracticeLocationAddressFaxNumber": "408-846-2419",
    "EnumerationDate": "11/28/2006",
    "LastUpdateDate": "10/17/2014",
    "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": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": "LMFT 46940",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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