NPI Code Detail JSON Logo

1932056504 NPI number — BRIAN GELO AGBAYANI

NPI Number: 1932056504
Health Care Provider/Practitioner: BRIAN GELO AGBAYANI

Information about “1932056504” NPI (BRIAN GELO AGBAYANI) exists in 1932056504 in HTML format HTML  |  1932056504 in plain Text format TXT  |  1932056504 in PDF (Portable Document Format) PDF  |  1932056504 in an XML format XML  formats.

NPI Number : 1932056504 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932056504",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AGBAYANI",
    "FirstName": "BRIAN",
    "MiddleName": "GELO",
    "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": "275 N EL CIELO RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALM SPRINGS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92262-6972",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-328-4499",
    "MailingAddressFaxNumber": "760-328-1050",
    "FirstLinePracticeLocationAddress": "255 N EL CIELO RD STE C327",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALM SPRINGS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92262-6992",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-328-4499",
    "PracticeLocationAddressFaxNumber": "760-328-1050",
    "EnumerationDate": "03/12/2026",
    "LastUpdateDate": "03/12/2026",
    "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": "163W00000X",
        "TaxonomyName": "Registered Nurse",
        "LicenseNumber": "95229893",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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