Individual provider Active NPI

Jose Ruel Prado Nanat

  • Pharmacy Technician
  • Chula Vista, CA
National Provider Identifier
1386977684
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
TCH 77307 Issued in CA
Practice address
1390 Santa Alicia Ave Apt 14107
Chula Vista, CA 91913-1863
Phone
(619) 781-8987
NPI assigned
Sep 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X TCH 77307 CA Primary
Pharmacy Technician 183700000X 77307 CA

Addresses

Primary practice location

1390 Santa Alicia Ave Apt 14107
Chula Vista, CA 91913-1863

Mailing address

1390 Santa Alicia Ave Apt 14107
Chula Vista, CA 91913-1863

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
77307CAMDPharmacy Technician
TCH 77307CAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1386977684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 SANTA ALICIA AVE APT 14107",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 SANTA ALICIA AVE APT 14107",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131863",
            "telephone_number": "619-781-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANAT",
        "first_name": "JOSE RUEL",
        "middle_name": "PRADO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "TCH 77307",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "77307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.