NPI Code Detail JSON Logo

1982410072 NPI number — INTERVENTION 911

NPI Number: 1982410072
Health Care Provider/Practitioner: INTERVENTION 911

Information about “1982410072” NPI (INTERVENTION 911) exists in 1982410072 in HTML format HTML  |  1982410072 in plain Text format TXT  |  1982410072 in PDF (Portable Document Format) PDF  |  1982410072 in an XML format XML  formats.

NPI Number : 1982410072 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982410072",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "INTERVENTION 911",
    "ParentOrgTIN": null,
    "OrgName": "INTERVENTION 911",
    "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": "33171 PASEO CERVEZA",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN JUAN CAPISTRANO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92675-4824",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-701-1959",
    "MailingAddressFaxNumber": "949-258-5510",
    "FirstLinePracticeLocationAddress": "502 N CERRITOS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALM SPRINGS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92262-6228",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-701-1959",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/04/2024",
    "LastUpdateDate": "12/04/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GATES",
    "AuthorizedOfficialFirstName": "PETER",
    "AuthorizedOfficialMiddleName": "M",
    "AuthorizedOfficialTitle": "CCO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "949-701-1959",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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