Organization Active NPI

Svetlana Gentry, NP

  • Health Service Clinic/Center
  • Coronado, CA
National Provider Identifier
1053685651
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Feb 28, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
18073OtherCACALIFORNIA STATE BOARD OF NURSING

National Provider Directory

National Provider Directory

NPI 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": []
}

Other providers in Coronado, CA

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.

Verify at the official NPI Registry.