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1376875039 NPI number — PREMIER FAMILY PRACTICE ASSOCIATES

NPI Number: 1376875039
Health Care Provider/Practitioner: PREMIER FAMILY PRACTICE ASSOCIATES

Information about “1376875039” NPI (PREMIER FAMILY PRACTICE ASSOCIATES) exists in 1376875039 in HTML format HTML  |  1376875039 in plain Text format TXT  |  1376875039 in PDF (Portable Document Format) PDF  |  1376875039 in an XML format XML  formats.

NPI Number : 1376875039 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376875039",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PREMIER FAMILY PRACTICE ASSOCIATES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9500 STOCKDALE HWY",
    "SecondLineMailingAddress": "SUITE 201",
    "MailingAddressCityName": "BAKERSFIELD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93311-3620",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "661-847-3223",
    "MailingAddressFaxNumber": "661-323-7999",
    "FirstLinePracticeLocationAddress": "9500 STOCKDALE HWY",
    "SecondLinePracticeLocationAddress": "SUITE 201",
    "PracticeLocationAddressCityName": "BAKERSFIELD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93311-3620",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "661-847-3223",
    "PracticeLocationAddressFaxNumber": "661-323-7999",
    "EnumerationDate": "02/05/2010",
    "LastUpdateDate": "01/27/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PEARSON",
    "AuthorizedOfficialFirstName": "ROBYN",
    "AuthorizedOfficialMiddleName": "MICHELLE",
    "AuthorizedOfficialTitle": "BILLING MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "661-327-1431",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "G527260",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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