NPI Code Detail JSON Logo

1609366210 NPI number — ANGELA VENDA

NPI Number: 1609366210
Health Care Provider/Practitioner: ANGELA VENDA

Information about “1609366210” NPI (ANGELA VENDA) exists in 1609366210 in HTML format HTML  |  1609366210 in plain Text format TXT  |  1609366210 in PDF (Portable Document Format) PDF  |  1609366210 in an XML format XML  formats.

NPI Number : 1609366210 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609366210",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VENDA",
    "FirstName": "ANGELA",
    "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": "7533 S CENTER VIEW CT # 4393",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST JORDAN",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84084-5526",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-576-4020",
    "MailingAddressFaxNumber": "888-267-8549",
    "FirstLinePracticeLocationAddress": "2108 N ST STE N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SACRAMENTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95816-5712",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-576-4020",
    "PracticeLocationAddressFaxNumber": "888-267-8549",
    "EnumerationDate": "05/18/2018",
    "LastUpdateDate": "12/23/2025",
    "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": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "12929",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "32761",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "12996862-2501",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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