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1568696987 NPI number — DOCTORS MEDICAL SURGICAL ASSOCIATES

NPI Number: 1568696987
Health Care Provider/Practitioner: DOCTORS MEDICAL SURGICAL ASSOCIATES

Information about “1568696987” NPI (DOCTORS MEDICAL SURGICAL ASSOCIATES) exists in 1568696987 in HTML format HTML  |  1568696987 in plain Text format TXT  |  1568696987 in PDF (Portable Document Format) PDF  |  1568696987 in an XML format XML  formats.

NPI Number : 1568696987 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568696987",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DOCTORS MEDICAL SURGICAL 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": "PO BOX 20609",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CASTRO VALLEY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94546-8609",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-690-0558",
    "MailingAddressFaxNumber": "510-690-1894",
    "FirstLinePracticeLocationAddress": "20055 LAKE CHABOT RD",
    "SecondLinePracticeLocationAddress": "SUITE 200",
    "PracticeLocationAddressCityName": "CASTRO VALLEY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94546-5331",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-690-0558",
    "PracticeLocationAddressFaxNumber": "510-690-1894",
    "EnumerationDate": "05/13/2009",
    "LastUpdateDate": "12/10/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MORALES",
    "AuthorizedOfficialFirstName": "ANA",
    "AuthorizedOfficialMiddleName": "I",
    "AuthorizedOfficialTitle": "BILLER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "510-690-0558",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "A46526",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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