Josefina R Enriquez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A38119 Issued in CA

Practice address

890 Main St
Suite B
Half Moon Bay, CA 94019-2180

Phone

(650) 726-4223

Fax

(650) 726-4934

NPI assigned

Sep 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346343746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 MAIN ST",
            "address_2": "SUITE B",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940192180",
            "telephone_number": "650-726-4223",
            "fax_number": "650-726-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 MAIN ST",
            "address_2": "SUITE B",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940192180",
            "telephone_number": "650-726-4223",
            "fax_number": "650-726-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "JOSEFINA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A38119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A381190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joelle Dussuyer, L.AC.
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• Stephen H. Embury, M.D.
• Nadia Eteiwi
• Evergreen Bay Family Care Inc (Home Helpers Healthcare)
• Giovanna Francesca Fattorini-Ocampo, LMFT
• Sheila Anne Fellows, LCSW
• Rhonda Figone, DPT

• Family Medicine Physician in Half Moon Bay, CA
• Providers in Half Moon Bay, CA by specialty
• Family Medicine Physician in California

• 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.