Active NPI
Jacqueline Marie Van Voerkens
- Other Technician
- San Pablo, CA
National Provider Identifier
1376688549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 2465 Dolan Way
Room 29
San Pablo, CA 94806-1668 - Phone
- (510) 741-2824
- Fax
- (510) 741-2903
- NPI assigned
- Feb 21, 2007
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
2465 Dolan Way
Room 29
San Pablo, CA 94806-1668
Mailing address
764 Shell Ave
Apt . #3
Martinez, CA 94553-3253
Phone (925) 370-2003
Other names 1
- Jacqueline Meurer
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": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376688549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 SHELL AVE",
"address_2": "APT . #3",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945533253",
"telephone_number": "925-370-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2465 DOLAN WAY",
"address_2": "ROOM 29",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948061668",
"telephone_number": "510-741-2824",
"fax_number": "510-741-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN VOERKENS",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "MEURER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Pablo, 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.