Individual provider Active NPI

Marjorie J Gatchalian, RN BSN

  • Registered Nurse
  • Vallejo, CA
National Provider Identifier
1164068748
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95175441 Issued in CA
Practice address
185 Nautilus Dr
Vallejo, CA 94591-7818
Phone
(510) 501-0664
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 822763 NV
Registered Nurse 163W00000X 95175441 CA Primary

Addresses

Primary practice location

185 Nautilus Dr
Vallejo, CA 94591-7818

Mailing address

185 Nautilus Dr
Vallejo, CA 94591-7818
Phone (510) 501-0664

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95175441CAMDRegistered Nurse
822763NVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1164068748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 NAUTILUS DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917818",
            "telephone_number": "510-501-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 NAUTILUS DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917818",
            "telephone_number": "510-501-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATCHALIAN",
        "first_name": "MARJORIE",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "822763",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95175441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.