NPI |
1487399952 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
1 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Provider Last Name Legal Name |
TAPIA |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider First Name |
JAZMIN |
The first name of the provider, if the provider
is an individual. |
Provider First Line Business Practice Location Address |
4719 VIEWRIDGE AVE STE 100 |
The middle name of the provider, if the provider
is an individual. |
Provider Business Practice Location Address City Name |
SAN DIEGO |
The name suffix of the provider if the provider
is an individual. The name suffix is a ‘‘generation-related’’ suffix, such as Jr., Sr., II, III, IV, or V. |
Provider Business Practice Location Address State Name |
CA |
The abbreviations for professional degrees or credentials used or held by the provider,
if the provider is an individual. Examples
are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations
will not be verified by NPS. |
Provider Business Practice Location Address Postal Code |
921231685 |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address Telephone Number |
8667278274 |
The State code in the location of the provider
being identified. |
Provider Enumeration Date |
4/29/2022 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Last Update Date |
4/29/2022 |
The country code in the location address of the provider being identified. |
Provider Gender Code |
F |
The telephone number associated with the location address of the provider being identified. |
Healthcare Provider Taxonomy Code 1 |
106S00000X |
The date the provider was assigned a unique identifier (assigned an NPI). |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Sole Proprietor |
N |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
NPI Certification Date |
4/29/2022 |
|