NPI Code Detail JSON Logo

1578526521 NPI number — ANGELITA MARQUINEZ PALANCA-CAPISTRANO M.D.

NPI Number: 1578526521
Health Care Provider/Practitioner: ANGELITA MARQUINEZ PALANCA-CAPISTRANO M.D.

Information about “1578526521” NPI (ANGELITA MARQUINEZ PALANCA-CAPISTRANO M.D.) exists in 1578526521 in HTML format HTML  |  1578526521 in plain Text format TXT  |  1578526521 in PDF (Portable Document Format) PDF  |  1578526521 in an XML format XML  formats.

NPI Number : 1578526521 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578526521",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PALANCA-CAPISTRANO",
    "FirstName": "ANGELITA",
    "MiddleName": "MARQUINEZ",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CAPISTRANO",
    "OtherFirstName": "ANGELITA",
    "OtherMiddleName": "PALANCA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "19069 VAN BUREN BLVD STE 114-219",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RIVERSIDE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92508-9169",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-372-9227",
    "MailingAddressFaxNumber": "951-372-9005",
    "FirstLinePracticeLocationAddress": "720 MAGNOLIA AVE",
    "SecondLinePracticeLocationAddress": "SUITE A-4",
    "PracticeLocationAddressCityName": "CORONA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92879-3119",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-372-9227",
    "PracticeLocationAddressFaxNumber": "951-372-9005",
    "EnumerationDate": "04/10/2006",
    "LastUpdateDate": "03/07/2023",
    "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": "207W00000X",
        "TaxonomyName": "Ophthalmology Physician",
        "LicenseNumber": "A91568",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.