NPI Code Detail JSON Logo

1407000896 NPI number — INNOVATIVE PATHWAYS INC.

NPI Number: 1407000896
Health Care Provider/Practitioner: INNOVATIVE PATHWAYS INC.

Information about “1407000896” NPI (INNOVATIVE PATHWAYS INC.) exists in 1407000896 in HTML format HTML  |  1407000896 in plain Text format TXT  |  1407000896 in PDF (Portable Document Format) PDF  |  1407000896 in an XML format XML  formats.

NPI Number : 1407000896 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407000896",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INNOVATIVE PATHWAYS INC.",
    "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": "1534 PLAZA LN",
    "SecondLineMailingAddress": "SUITE 358",
    "MailingAddressCityName": "BURLINGAME",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94010-3204",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-206-2030",
    "MailingAddressFaxNumber": "650-259-0332",
    "FirstLinePracticeLocationAddress": "14895 E 14TH ST",
    "SecondLinePracticeLocationAddress": "SUITE 465",
    "PracticeLocationAddressCityName": "SAN LEANDRO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94578-2922",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-206-2030",
    "PracticeLocationAddressFaxNumber": "510-346-7101",
    "EnumerationDate": "11/11/2008",
    "LastUpdateDate": "04/26/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MIKAELIAN",
    "AuthorizedOfficialFirstName": "BAHRIG",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA",
    "AuthorizedOfficialTelephoneNumber": "510-206-2030",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "252Y00000X",
          "TaxonomyName": "Early Intervention Provider Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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