Individual provider Active NPI

Geraldine M. Pechtel

  • Community Health Registered Nurse
  • El Cajon, CA
National Provider Identifier
1316061971
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
386111 Issued in CA
Practice address
151 Van Houten Ave
El Cajon, CA 92020-4429
Phone
(619) 401-3697
Fax
(619) 401-3886
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 386111 CA Primary

Addresses

Primary practice location

151 Van Houten Ave
El Cajon, CA 92020-4429

Mailing address

1819 Bearcat LN
El Cajon, CA 92019-4238
Phone (619) 579-0368

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

LicenseStateTypeSpecialty
386111CAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316061971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 BEARCAT LN",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194238",
            "telephone_number": "619-579-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 VAN HOUTEN AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204429",
            "telephone_number": "619-401-3697",
            "fax_number": "619-401-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHTEL",
        "first_name": "GERALDINE",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "386111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, 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.

Verify at the official NPI Registry.