NPI Code Detail JSON Logo

1932665296 NPI number — INFINITI INNOVATIVE HOLDINGS LLC

NPI Number: 1932665296
Health Care Provider/Practitioner: INFINITI INNOVATIVE HOLDINGS LLC

Information about “1932665296” NPI (INFINITI INNOVATIVE HOLDINGS LLC) exists in 1932665296 in HTML format HTML  |  1932665296 in plain Text format TXT  |  1932665296 in PDF (Portable Document Format) PDF  |  1932665296 in an XML format XML  formats.

NPI Number : 1932665296 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932665296",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INFINITI INNOVATIVE HOLDINGS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "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": "PO BOX 211",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWARK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94560-0211",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-500-4487",
    "MailingAddressFaxNumber": "510-868-0257",
    "FirstLinePracticeLocationAddress": "37600 CENTRAL CT STE 218",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEWARK",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94560-3456",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-500-4487",
    "PracticeLocationAddressFaxNumber": "510-868-0257",
    "EnumerationDate": "02/12/2019",
    "LastUpdateDate": "12/31/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ITE",
    "AuthorizedOfficialFirstName": "EMEM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "COO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "B.SC,   MSC (MOT)",
    "AuthorizedOfficialTelephoneNumber": "510-500-4487",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "343900000X",
        "TaxonomyName": "Non-emergency Medical Transport (VAN)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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