Active NPI
Violeta Fodorean
- Adult Companion
- Glendale, AZ
National Provider Identifier
1003138025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- AL4554H
- Practice address
- 5941 W Audrey LN
Glendale, AZ 85308-0702 - Phone
- (602) 298-5551
- Fax
- (623) 321-5968
- NPI assigned
- Feb 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | AL4554H | AZ | Primary |
Addresses
Primary practice location
5941 W Audrey LN
Glendale, AZ 85308-0702
Mailing address
5941 W Audrey LN
Glendale, AZ 85308-0702
Phone (602) 298-5551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119946 | Other | AZ | AHCCCS ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL4554H | AZ | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1003138025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5941 W AUDREY LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853080702",
"telephone_number": "602-298-5551",
"fax_number": "623-321-5968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5941 W AUDREY LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853080702",
"telephone_number": "602-298-5551",
"fax_number": "623-321-5968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FODOREAN",
"first_name": "VIOLETA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-17",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "AZ",
"license": "AL4554H",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS ID",
"identifier": "119946",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.