Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | CALIFORNIA | No |
| 2 | 1223G0001X | Dentist | General Practice | | CALIFORNIA | No |
| 3 | 251E00000X | Home Health | | | CALIFORNIA | No |
| 4 | 293D00000X | Physiological Laboratory | | | CALIFORNIA | No |
| 5 | 208200000X | Plastic Surgery | | | CALIFORNIA | No |
| 6 | 207Q00000X | Family Medicine | | | CALIFORNIA | No |
| 7 | 207R00000X | Internal Medicine | | | | No |
| 8 | 164W00000X | Licensed Practical Nurse | | | CALIFORNIA | No |
| 9 | 163WC0400X | Registered Nurse | Case Management | | CALIFORNIA | No |
| 10 | 146N00000X | Emergency Medical Technician, Basic | | | CALIFORNIA | No |
| 11 | 363LA2200X | Nurse Practitioner | Adult Health | | CALIFORNIA | No |
| 12 | 225100000X | Physical Therapist | | | CALIFORNIA | No |
| 13 | 126800000X | Dental Assistant | | | CALIFORNIA | No |
| 14 | 124Q00000X | Dental Hygienist | | | CALIFORNIA | No |
| 15 | 208D00000X | General Practice | | | CALIFORNIA | Yes |