NPI Code Detail JSON Logo

1942875786 NPI number — ARIANE BERENICE VAZQUEZ

NPI Number: 1942875786
Health Care Provider/Practitioner: ARIANE BERENICE VAZQUEZ

Information about “1942875786” NPI (ARIANE BERENICE VAZQUEZ) exists in 1942875786 in HTML format HTML  |  1942875786 in plain Text format TXT  |  1942875786 in PDF (Portable Document Format) PDF  |  1942875786 in an XML format XML  formats.

NPI Number : 1942875786 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942875786",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VAZQUEZ",
    "FirstName": "ARIANE",
    "MiddleName": "BERENICE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VAZQUEZ",
    "OtherFirstName": "ARIANA",
    "OtherMiddleName": "BERENICE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2621 GREEN RIVER RD STE 105-161",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORONA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92882-7433",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1310 CLUB DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VALLEJO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94592-1187",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "707-638-5809",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/24/2021",
    "LastUpdateDate": "12/13/2024",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.