NPI Code Detail JSON Logo

1356531032 NPI number — LISA MARIA BEFFA M.D.

NPI Number: 1356531032
Health Care Provider/Practitioner: LISA MARIA BEFFA M.D.

Information about “1356531032” NPI (LISA MARIA BEFFA M.D.) exists in 1356531032 in HTML format HTML  |  1356531032 in plain Text format TXT  |  1356531032 in PDF (Portable Document Format) PDF  |  1356531032 in an XML format XML  formats.

NPI Number : 1356531032 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356531032",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BEFFA",
    "FirstName": "LISA",
    "MiddleName": "MARIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HENDRICKS",
    "OtherFirstName": "LISA",
    "OtherMiddleName": "MARIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4550 KEARNY VILLA RD STE 116",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92123-1583",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-279-1223",
    "MailingAddressFaxNumber": "619-516-4757",
    "FirstLinePracticeLocationAddress": "4550 KEARNY VILLA RD STE 116",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92123-1583",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-279-1223",
    "PracticeLocationAddressFaxNumber": "619-516-4757",
    "EnumerationDate": "07/27/2007",
    "LastUpdateDate": "02/01/2011",
    "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": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "A111296",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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