NPI Code Detail JSON Logo

1609269455 NPI number — AMY MALONEY LAC

NPI Number: 1609269455
Health Care Provider/Practitioner: AMY MALONEY LAC

Information about “1609269455” NPI (AMY MALONEY LAC) exists in 1609269455 in HTML format HTML  |  1609269455 in plain Text format TXT  |  1609269455 in PDF (Portable Document Format) PDF  |  1609269455 in an XML format XML  formats.

NPI Number : 1609269455 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609269455",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MALONEY",
    "FirstName": "AMY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MALONEY",
    "OtherFirstName": "AME",
    "OtherMiddleName": "M",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "L.AC.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "858 YORK ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN FRANCISCO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94110-2843",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "415-902-0236",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "406 CORTLAND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN FRANCISCO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94110-5538",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "415-550-8444",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/17/2015",
    "LastUpdateDate": "03/17/2015",
    "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": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "7635",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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