NPIMap

Organization Active NPI

California University of Pennsylvania

  • Health Service Clinic/Center
  • California, PA
National Provider Identifier
1003168162
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
VP006076B Issued in PA
Legal business name
CALIFORNIA UNIVERSITY OF PENNSYLVANIA
Practice address
250 University Ave
California, PA 15419-1341
Phone
(724) 938-5922
Fax
(724) 938-4509
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Frances Duda Fayish, CRNP
Title
Nurse Practitioner
Phone
(724) 938-5922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X VP006076B PA Primary

Addresses

Primary practice location

250 University Ave
California, PA 15419-1341

Mailing address

250 University Ave
California, PA 15419-1341
Phone (724) 938-5922

National Provider Directory

National Provider Directory
Tax ID family
California University of Pennsylvania3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1003168162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 UNIVERSITY AVE",
            "city": "CALIFORNIA",
            "state": "PA",
            "postal_code": "154191341",
            "telephone_number": "724-938-5922",
            "fax_number": "724-938-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 UNIVERSITY AVE",
            "city": "CALIFORNIA",
            "state": "PA",
            "postal_code": "154191341",
            "telephone_number": "724-938-5922",
            "fax_number": "724-938-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA UNIVERSITY OF PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "FAYISH",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "DUDA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "724-938-5922",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PA",
            "license": "VP006076B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in California, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.