NPI Code Detail JSON Logo

1720374853 NPI number — KIMBERLY ANN MURPHY MD

NPI Number: 1720374853
Health Care Provider/Practitioner: KIMBERLY ANN MURPHY MD

Information about “1720374853” NPI (KIMBERLY ANN MURPHY MD) exists in 1720374853 in HTML format HTML  |  1720374853 in plain Text format TXT  |  1720374853 in PDF (Portable Document Format) PDF  |  1720374853 in an XML format XML  formats.

NPI Number : 1720374853 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720374853",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MURPHY",
    "FirstName": "KIMBERLY",
    "MiddleName": "ANN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PLLOCK",
    "OtherFirstName": "KIMBERLY",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 232410",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92193-2410",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-249-6749",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "31700 TEMECULA PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TEMECULA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92592-5896",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-331-2200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/27/2011",
    "LastUpdateDate": "09/26/2023",
    "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": "207LP2900X",
          "TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
          "LicenseNumber": "A123502",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "123502",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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