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1730158676 NPI number — JILLAINE ANN SOCHA P.A.- C

NPI Number: 1730158676
Health Care Provider/Practitioner: JILLAINE ANN SOCHA P.A.- C

Information about “1730158676” NPI (JILLAINE ANN SOCHA P.A.- C) exists in 1730158676 in HTML format HTML  |  1730158676 in plain Text format TXT  |  1730158676 in PDF (Portable Document Format) PDF  |  1730158676 in an XML format XML  formats.

NPI Number : 1730158676 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730158676",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOCHA",
    "FirstName": "JILLAINE",
    "MiddleName": "ANN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "P.A.- C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WADIN",
    "OtherFirstName": "JILL",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "P.A.- C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1260 S MAIN ST",
    "SecondLineMailingAddress": "SUITE 202",
    "MailingAddressCityName": "SALINAS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93901-2288",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "831-769-9355",
    "MailingAddressFaxNumber": "831-754-4955",
    "FirstLinePracticeLocationAddress": "230 SAN JOSE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SALINAS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93901-3901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "831-758-2100",
    "PracticeLocationAddressFaxNumber": "831-758-1565",
    "EnumerationDate": "03/14/2006",
    "LastUpdateDate": "06/19/2019",
    "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": "PA11365",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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