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1639331267 NPI number — AARIKA BERNICE PARDINO PA

NPI Number: 1639331267
Health Care Provider/Practitioner: AARIKA BERNICE PARDINO PA

Information about “1639331267” NPI (AARIKA BERNICE PARDINO PA) exists in 1639331267 in HTML format HTML  |  1639331267 in plain Text format TXT  |  1639331267 in PDF (Portable Document Format) PDF  |  1639331267 in an XML format XML  formats.

NPI Number : 1639331267 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639331267",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PARDINO",
    "FirstName": "AARIKA",
    "MiddleName": "BERNICE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KIRKENDOLL",
    "OtherFirstName": "AARIKA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1820 W CARSON ST # 202-319",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TORRANCE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90501-2858",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "424-341-3427",
    "MailingAddressFaxNumber": "310-602-6584",
    "FirstLinePracticeLocationAddress": "1820 W CARSON ST # 202-319",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TORRANCE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90501-2858",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "424-341-3427",
    "PracticeLocationAddressFaxNumber": "310-602-6584",
    "EnumerationDate": "06/25/2008",
    "LastUpdateDate": "07/24/2024",
    "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": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "25MP00199100",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "PA.200345",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "PA21509",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "013257",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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