NPI Code Detail JSON Logo

1679237598 NPI number — ALLEN KRIS NAVARRO NP

NPI Number: 1679237598
Health Care Provider/Practitioner: ALLEN KRIS NAVARRO NP

Information about “1679237598” NPI (ALLEN KRIS NAVARRO NP) exists in 1679237598 in HTML format HTML  |  1679237598 in plain Text format TXT  |  1679237598 in PDF (Portable Document Format) PDF  |  1679237598 in an XML format XML  formats.

NPI Number : 1679237598 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679237598",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NAVARRO",
    "FirstName": "ALLEN KRIS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 35380",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89133-5380",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-579-3203",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1187 E ANAHEIM ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LONG BEACH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90813-3662",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-212-8339",
    "PracticeLocationAddressFaxNumber": "562-218-7062",
    "EnumerationDate": "10/27/2021",
    "LastUpdateDate": "01/02/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "95018826",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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