Active NPI
Angel Rainbow Osa, TECHNICIAN
- Pharmacy Technician
- Palo Cedro, CA
National Provider Identifier
1225720782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 106026
- Practice address
- 9390 Deschutes Rd
Palo Cedro, CA 96073-9763 - Phone
- (530) 547-4403
- Fax
- (530) 547-4845
- NPI assigned
- May 23, 2023
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 106026 | CA | Primary |
Addresses
Primary practice location
9390 Deschutes Rd
Palo Cedro, CA 96073-9763
Mailing address
9390 Deschutes Rd
Palo Cedro, CA 96073-9763
Phone (530) 547-4403
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1225720782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9390 DESCHUTES RD",
"city": "PALO CEDRO",
"state": "CA",
"postal_code": "960739763",
"telephone_number": "530-547-4403",
"fax_number": "530-547-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9390 DESCHUTES RD",
"city": "PALO CEDRO",
"state": "CA",
"postal_code": "960739763",
"telephone_number": "530-547-4403",
"fax_number": "530-547-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSA",
"first_name": "ANGEL",
"middle_name": "RAINBOW",
"credential": "TECHNICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "106026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Cedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.