Peter Badua Pac

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

Legal business name

PETER BADUA PAC

Practice address

53 Cronin Dr
Santa Clara, CA 95051-6719

Phone

(408) 984-2455

Fax

(408) 984-2456

NPI assigned

Dec 18, 2010

Last updated

Dec 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Damon Frach, PHD

Title

Office Manager

Phone

(408) 984-2455

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1292630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292630400000",
    "number": "1073816765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CRONIN DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516719",
            "telephone_number": "408-984-2455",
            "fax_number": "408-984-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CRONIN DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516719",
            "telephone_number": "408-984-2455",
            "fax_number": "408-984-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER BADUA PAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-18",
        "last_updated": "2010-12-18",
        "status": "A",
        "authorized_official_last_name": "FRACH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAMON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-984-2455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Fernanda Perez
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• Perrin Health Services LLC
• Brianna K Perry
• Nalini Persaud, MA, LCSW
• Matthew Wyatt Peters, MD
• John Peterson, MD
• Sylvia Petitt, MFT
• Michelle Albanese Pettengill, ASW
• Valerie K Petty

• Registered Nurse First Assistant in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Registered Nurse First Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.