Active NPI
Svetlana Gentry, NP
- Health Service Clinic/Center
- Coronado, CA
National Provider Identifier
1053685651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- SVETLANA GENTRY, NP
- Practice address
- 719 I Ave
Coronado, CA 92118-2017 - Phone
- (619) 737-7226
- NPI assigned
- Feb 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Svetlana Gentry, N.P.
- Title
- N.P.
- Phone
- (619) 737-7226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
719 I Ave
Coronado, CA 92118-2017
Mailing address
719 I Ave
Coronado, CA 92118-2017
Phone (619) 737-7226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18073 | Other | CA | CALIFORNIA STATE BOARD OF NURSING |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330387200000",
"number": "1053685651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 I AVE",
"city": "CORONADO",
"state": "CA",
"postal_code": "921182017",
"telephone_number": "619-737-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 I AVE",
"city": "CORONADO",
"state": "CA",
"postal_code": "921182017",
"telephone_number": "619-737-7226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SVETLANA GENTRY, NP",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-28",
"last_updated": "2012-02-28",
"status": "A",
"authorized_official_last_name": "GENTRY",
"authorized_official_first_name": "SVETLANA",
"authorized_official_title_or_position": "N.P.",
"authorized_official_telephone_number": "619-737-7226",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "N.P."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE BOARD OF NURSING",
"identifier": "18073",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.