Active NPI
Blanca Elizabeth Holguin, X-RAY TECH
- Radiologic Technologist
- Encinitas, CA
National Provider Identifier
1144306960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- RHP86396
- Practice address
- 317 N El Camino Real
Suite 405
Encinitas, CA 92024-2811 - Phone
- (760) 942-0565
- NPI assigned
- Oct 27, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | RHP86396 | CA | Primary |
Addresses
Primary practice location
317 N El Camino Real
Suite 405
Encinitas, CA 92024-2811
Mailing address
317 N El Camino Real
Suite 405
Encinitas, CA 92024-2811
Phone (760) 942-0565
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 |
|---|---|---|---|
| RHP86396 | CA | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144306960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 N EL CAMINO REAL",
"address_2": "SUITE 405",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920242811",
"telephone_number": "760-942-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 N EL CAMINO REAL",
"address_2": "SUITE 405",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920242811",
"telephone_number": "760-942-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLGUIN",
"first_name": "BLANCA",
"middle_name": "ELIZABETH",
"credential": "X-RAY TECH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "RHP86396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.