NPI Code Detail JSON Logo

1689888109 NPI number — SIERRA VIEW NEPHROLOGY, INC

NPI Number: 1689888109
Health Care Provider/Practitioner: SIERRA VIEW NEPHROLOGY, INC

Information about “1689888109” NPI (SIERRA VIEW NEPHROLOGY, INC) exists in 1689888109 in HTML format HTML  |  1689888109 in plain Text format TXT  |  1689888109 in PDF (Portable Document Format) PDF  |  1689888109 in an XML format XML  formats.

NPI Number : 1689888109 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689888109",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SIERRA VIEW NEPHROLOGY, INC",
    "LastName": null,
    "FirstName": null,
    "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": "557 W MORTON AVE",
    "SecondLineMailingAddress": "SUITE A",
    "MailingAddressCityName": "PORTERVILLE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93257-3333",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "559-784-4925",
    "MailingAddressFaxNumber": "559-784-4966",
    "FirstLinePracticeLocationAddress": "557 W MORTON AVE",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "PORTERVILLE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93257-3333",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "559-784-4925",
    "PracticeLocationAddressFaxNumber": "559-784-4966",
    "EnumerationDate": "05/10/2007",
    "LastUpdateDate": "09/11/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VEMURI",
    "AuthorizedOfficialFirstName": "NIRUPAMA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "559-784-4925",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "C52775",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RN0300X",
          "TaxonomyName": "Nephrology Physician",
          "LicenseNumber": "C52775",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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