1699946483 NPI number — MRS. ANA ALICIA MCGILL RHNP & RN

Table of content: MRS. ANA ALICIA MCGILL RHNP & RN (NPI 1699946483)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699946483 NPI number — MRS. ANA ALICIA MCGILL RHNP & RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGILL
Provider First Name:
ANA
Provider Middle Name:
ALICIA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RHNP & RN
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TIRADO
Provider Other First Name:
ANA
Provider Other Middle Name:
ALICIA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RHNP & RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1699946483
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1691 THE ALAMEDA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JOSE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95126-2203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-287-7532
Provider Business Mailing Address Fax Number:
408-287-0405

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5727 N FRESNO ST
Provider Second Line Business Practice Location Address:
STE 101
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93710-6000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-446-1515
Provider Business Practice Location Address Fax Number:
559-446-1273
Provider Enumeration Date:
03/19/2008

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: 363LW0102X , with the licence number:  NP6387 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LX0001X , with the licence number: NP 6387 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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