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1770240434 NPI number — JACQUELINE BAYADING CHAN

NPI Number: 1770240434
Health Care Provider/Practitioner: JACQUELINE BAYADING CHAN

Information about “1770240434” NPI (JACQUELINE BAYADING CHAN) exists in 1770240434 in HTML format HTML  |  1770240434 in plain Text format TXT  |  1770240434 in PDF (Portable Document Format) PDF  |  1770240434 in an XML format XML  formats.

NPI Number : 1770240434 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770240434",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHAN",
    "FirstName": "JACQUELINE",
    "MiddleName": "BAYADING",
    "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": "20639 LEMMER ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHATSWORTH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91311-4502",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-519-6072",
    "MailingAddressFaxNumber": "818-782-7320",
    "FirstLinePracticeLocationAddress": "4312 WOODMAN AVE STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHERMAN OAKS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91423-5514",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-922-2129",
    "PracticeLocationAddressFaxNumber": "818-922-2025",
    "EnumerationDate": "11/17/2021",
    "LastUpdateDate": "10/27/2025",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "95017629",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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