Active NPI
Nancy Afholderbach, CPHT
- Technician/Technologist
- Pittsburg, CA
National Provider Identifier
1013548015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- TCH3006
- Practice address
- 265 Heron Dr
Pittsburg, CA 94565-1916 - Phone
- (510) 610-4888
- NPI assigned
- Jan 28, 2020
- Last updated
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | TCH3006 | CA | Primary |
Addresses
Primary practice location
265 Heron Dr
Pittsburg, CA 94565-1916
Mailing address
265 Heron Dr
Pittsburg, CA 94565-1916
Phone (510) 610-4888
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 |
|---|---|---|---|
| TCH3006 | CA | MD | Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1013548015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 HERON DR",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945651916",
"telephone_number": "510-610-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 HERON DR",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945651916",
"telephone_number": "510-610-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFHOLDERBACH",
"first_name": "NANCY",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "CA",
"license": "TCH3006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.