NPI Code Detail JSON Logo

1548729833 NPI number — ESON PIUS EKPO M.D.

NPI Number: 1548729833
Health Care Provider/Practitioner: ESON PIUS EKPO M.D.

Information about “1548729833” NPI (ESON PIUS EKPO M.D.) exists in 1548729833 in HTML format HTML  |  1548729833 in plain Text format TXT  |  1548729833 in PDF (Portable Document Format) PDF  |  1548729833 in an XML format XML  formats.

NPI Number : 1548729833 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548729833",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EKPO",
    "FirstName": "ESON",
    "MiddleName": "PIUS",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "870 QUARRY RD",
    "SecondLineMailingAddress": "CVRC FALK",
    "MailingAddressCityName": "STANFORD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94305-5406",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "650-725-4177",
    "MailingAddressFaxNumber": "650-725-1599",
    "FirstLinePracticeLocationAddress": "9898 GENESEE",
    "SecondLinePracticeLocationAddress": "AMP 400",
    "PracticeLocationAddressCityName": "LA JOLLA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92037",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-824-4134",
    "PracticeLocationAddressFaxNumber": "858-964-3114",
    "EnumerationDate": "03/15/2019",
    "LastUpdateDate": "07/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207RA0001X",
          "TaxonomyName": "Advanced Heart Failure and Transplant Cardiology Physician",
          "LicenseNumber": "A176995",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "A176995",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RG0300X",
          "TaxonomyName": "Geriatric Medicine (Internal Medicine) Physician",
          "LicenseNumber": "A176995",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "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."
        },
        {
          "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."
        },
        {
          "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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