NPI Code Detail JSON Logo

1477141711 NPI number — RIZA LAJARA MALANA MSN, FNP- BC, FNP- C

NPI Number: 1477141711
Health Care Provider/Practitioner: RIZA LAJARA MALANA MSN, FNP- BC, FNP- C

Information about “1477141711” NPI (RIZA LAJARA MALANA MSN, FNP- BC, FNP- C) exists in 1477141711 in HTML format HTML  |  1477141711 in plain Text format TXT  |  1477141711 in PDF (Portable Document Format) PDF  |  1477141711 in an XML format XML  formats.

NPI Number : 1477141711 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477141711",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MALANA",
    "FirstName": "RIZA",
    "MiddleName": "LAJARA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSN, FNP- BC, FNP- C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4000 CALLE TECATE",
    "SecondLineMailingAddress": "SUITE # 115",
    "MailingAddressCityName": "CAMARILLO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93012-5285",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-485-2400",
    "MailingAddressFaxNumber": "805-233-3025",
    "FirstLinePracticeLocationAddress": "2438 N PONDEROSA DR STE C101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAMARILLO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93010-2465",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-383-9727",
    "PracticeLocationAddressFaxNumber": "805-764-0176",
    "EnumerationDate": "01/04/2021",
    "LastUpdateDate": "06/22/2023",
    "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": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "95016284",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "NP95016284",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "NP95016284",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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