1982903068 NPI number — MS. JESUSA CARAS YAP RN, CCM

Table of content: MS. JESUSA CARAS YAP RN, CCM (NPI 1982903068)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982903068 NPI number — MS. JESUSA CARAS YAP RN, CCM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YAP
Provider First Name:
JESUSA
Provider Middle Name:
CARAS
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN, CCM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
YAP
Provider Other First Name:
JESUSA
Provider Other Middle Name:
CARAS
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN, CCM
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1982903068
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/15/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 LOS BANOS AVE
Provider Second Line Business Mailing Address:
200 LOS BANOS AVENUE
Provider Business Mailing Address City Name:
DALY CITY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94014-1063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-922-5635
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
USA MEDDAC BAVARIA
Provider Second Line Business Practice Location Address:
CMR 4, BLDG 700, ROSE BARRACKS
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
499662834719
Provider Business Practice Location Address Fax Number:
499662834721
Provider Enumeration Date:
03/15/2011

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: 101YM0800X , with the licence number:  RN280256 , 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)

  • Identifier: VADOO . This is a "UPIN" identifier . This identifiers is of the category "OTHER".




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