Organization Active NPI

Pronurseregistery

  • Ambulatory Care Registered Nurse
  • San Jose, CA
National Provider Identifier
1104509355
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
Legal business name
PRONURSEREGISTERY
Practice address
1785 Almaden Rd
San Jose, CA 95125-1971
Phone
(408) 832-7165
NPI assigned
Aug 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Hana Aboye
Title
Authorized Official
Phone
(408) 832-7165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP2201X Primary

Addresses

Primary practice location

1785 Almaden Rd
San Jose, CA 95125-1971

Mailing address

1785 Almaden Rd
San Jose, CA 95125-1971
Phone (408) 832-7165

National Provider Directory

National Provider Directory

Locations

1785 Almaden Rd
San Jose, CA 95125
Phone (408) 832-7165

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1104509355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 ALMADEN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951251971",
            "telephone_number": "408-832-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 ALMADEN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951251971",
            "telephone_number": "408-832-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRONURSEREGISTERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "ABOYE",
        "authorized_official_first_name": "HANA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "408-832-7165"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.