1144208463 NPI number — NICOLA JANIS CADENAS MS

Table of content: NICOLA JANIS CADENAS MS (NPI 1144208463)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144208463 NPI number — NICOLA JANIS CADENAS MS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CADENAS
Provider First Name:
NICOLA
Provider Middle Name:
JANIS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STEWART
Provider Other First Name:
NICOLA
Provider Other Middle Name:
JANIS
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1144208463
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/04/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
07/17/2007
NPI Reactivation Date:
03/04/2019

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UCSF CANCER GENETICS AND PREVENTION PROGRAM
Provider Second Line Business Mailing Address:
1600 DIVISADERO ST. BOX 1714
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94143
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-885-7596
Provider Business Mailing Address Fax Number:
415-885-3787

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1825 FOURTH ST.
Provider Second Line Business Practice Location Address:
4TH FLOOR
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94158
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-885-7596
Provider Business Practice Location Address Fax Number:
415-885-3787
Provider Enumeration Date:
01/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 170300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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