NPI Code Detail JSON Logo

1861909079 NPI number — ICA FAMILY NURSING PRACTICE

NPI Number: 1861909079
Health Care Provider/Practitioner: ICA FAMILY NURSING PRACTICE

Information about “1861909079” NPI (ICA FAMILY NURSING PRACTICE) exists in 1861909079 in HTML format HTML  |  1861909079 in plain Text format TXT  |  1861909079 in PDF (Portable Document Format) PDF  |  1861909079 in an XML format XML  formats.

NPI Number : 1861909079 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861909079",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ICA FAMILY NURSING PRACTICE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5917 NILES ST STE 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BAKERSFIELD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93306-4695",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "661-363-7000",
    "MailingAddressFaxNumber": "661-493-0502",
    "FirstLinePracticeLocationAddress": "5917 NILES ST STE 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BAKERSFIELD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93306-4695",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "661-363-7000",
    "PracticeLocationAddressFaxNumber": "661-493-0502",
    "EnumerationDate": "01/09/2018",
    "LastUpdateDate": "01/09/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ABLIN",
    "AuthorizedOfficialFirstName": "IDALIA",
    "AuthorizedOfficialMiddleName": "CORTEZ",
    "AuthorizedOfficialTitle": "CEO/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP-C",
    "AuthorizedOfficialTelephoneNumber": "661-363-7000",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.