1225251184 NPI number — DR. MARIA DE LAS MERCEDES SAYAGO DE ARAMBURU M.D.

Table of content: DR. MARIA DE LAS MERCEDES SAYAGO DE ARAMBURU M.D. (NPI 1225251184)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225251184 NPI number — DR. MARIA DE LAS MERCEDES SAYAGO DE ARAMBURU M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAYAGO DE ARAMBURU
Provider First Name:
MARIA DE LAS
Provider Middle Name:
MERCEDES
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SAYAGO
Provider Other First Name:
M
Provider Other Middle Name:
MERCEDES
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1225251184
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/04/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
320 SUPERIOR AVE STE 360
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWPORT BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92663-2795
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-548-6200
Provider Business Mailing Address Fax Number:
949-548-6201

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
320 SUPERIOR AVE STE 360
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWPORT BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92663-2795
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-548-6200
Provider Business Practice Location Address Fax Number:
949-548-6201
Provider Enumeration Date:
04/10/2007

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: 207V00000X , with the licence number:  MD2017-0243 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X , with the licence number: MD60147418 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X , with the licence number: A113215 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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