Organization Active NPI

Jennie G Holohan

  • Durable Medical Equipment & Medical Supplies
  • Vallejo, CA
National Provider Identifier
1366718322
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JENNIE G HOLOHAN
Practice address
55 Springstowne Ctr # 305
Vallejo, CA 94591-5566
Phone
(707) 704-2568
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Jennie G Holohan
Title
Owner
Phone
(707) 704-2568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

55 Springstowne Ctr # 305
Vallejo, CA 94591-5566

Mailing address

55 Springstowne Ctr # 305
Vallejo, CA 94591-5566
Phone (707) 704-2568

National Provider Directory

National Provider Directory

Locations

55 Springstowne Ctr
Vallejo, CA 94591
Phone (707) 704-2568

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1366718322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SPRINGSTOWNE CTR # 305",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915566",
            "telephone_number": "707-704-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SPRINGSTOWNE CTR # 305",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915566",
            "telephone_number": "707-704-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIE G HOLOHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "HOLOHAN",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-704-2568"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "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 Mar 23, 2012; 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.