{
"Npi": {
"NPI": "1891252912",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZEPEDA",
"FirstName": "RAMONA",
"MiddleName": "SEVILLA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "FNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FONTELA",
"OtherFirstName": "RAMONA",
"OtherMiddleName": "SEVILLA",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "FNP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1180 ROSECRANS ST UNIT 607",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN DIEGO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92106-2660",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "619-512-7491",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1580 BROADWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EL CAJON",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92021-5124",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "858-321-5372",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/25/2019",
"LastUpdateDate": "01/21/2025",
"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": "95010951",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}