NPI Code Detail JSON Logo

1740453414 NPI number — GEORGE RAMIREZ VELASQUEZ INDEPENDENT DUTY HM

NPI Number: 1740453414
Health Care Provider/Practitioner: GEORGE RAMIREZ VELASQUEZ INDEPENDENT DUTY HM

Information about “1740453414” NPI (GEORGE RAMIREZ VELASQUEZ INDEPENDENT DUTY HM) exists in 1740453414 in HTML format HTML  |  1740453414 in plain Text format TXT  |  1740453414 in PDF (Portable Document Format) PDF  |  1740453414 in an XML format XML  formats.

NPI Number : 1740453414 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740453414",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VELASQUEZ",
    "FirstName": "GEORGE",
    "MiddleName": "RAMIREZ",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "INDEPENDENT DUTY HM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VELASQUEZ",
    "OtherFirstName": "GEORGE",
    "OtherMiddleName": "RAMIREZ",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "HM1/IDC/E-6",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "5553 BAILEYA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TWENTYNINE PALMS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92277-1321",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-367-5443",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3RDLARBN, H&S COMPANY, MEDICAL BAS",
    "SecondLinePracticeLocationAddress": "MCGACC 29 PALMS, 1STMARDIVDET",
    "PracticeLocationAddressCityName": "TWENTYNINE PALMS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92278-1321",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-830-6062",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/02/2008",
    "LastUpdateDate": "04/02/2008",
    "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": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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