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1568929271 NPI number — MRS. DIANA YVETTE TRUJILLO

NPI Number: 1568929271
Health Care Provider/Practitioner: MRS. DIANA YVETTE TRUJILLO

Information about “1568929271” NPI (MRS. DIANA YVETTE TRUJILLO) exists in 1568929271 in HTML format HTML  |  1568929271 in plain Text format TXT  |  1568929271 in PDF (Portable Document Format) PDF  |  1568929271 in an XML format XML  formats.

NPI Number : 1568929271 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568929271",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TRUJILLO",
    "FirstName": "DIANA",
    "MiddleName": "YVETTE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROLDAN",
    "OtherFirstName": "DIANA",
    "OtherMiddleName": "YVETTE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "572 N ARROWHEAD AVE STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN BERNARDINO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92401-1217",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-684-2319",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "572 N ARROWHEAD AVE STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN BERNARDINO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92401-1217",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-684-2319",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/28/2019",
    "LastUpdateDate": "07/07/2023",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "AMFT109772",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "109772",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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