Active NPI
Olivia Isaacs
- Perfusionist
- Sunnyvale, CA
National Provider Identifier
1225430176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- 1280164129
- Practice address
- 959 Stewart Dr Apt 1127
Sunnyvale, CA 94085-3945 - Phone
- (812) 844-0385
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Perfusionist | 242T00000X | 1280164129 | IN | Primary |
Addresses
Primary practice location
959 Stewart Dr Apt 1127
Sunnyvale, CA 94085-3945
Mailing address
959 Stewart Dr Apt 1127
Sunnyvale, CA 94085-3945
Phone (812) 844-0385
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 |
|---|---|---|---|
| 1280164129 | IN | MD | Perfusionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1225430176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "959 STEWART DR APT 1127",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940853945",
"telephone_number": "812-844-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 STEWART DR APT 1127",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940853945",
"telephone_number": "812-844-0385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "OLIVIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "IN",
"license": "1280164129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.