Prativa Subba

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

699413 Issued in CA

Practice address

1111 Market St
San Francisco, CA 94103-1589

Phone

(415) 863-3883

NPI assigned

Jun 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1396312856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 KEARNEY ST APT 6",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303100",
            "telephone_number": "510-426-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031589",
            "telephone_number": "415-863-3883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Kearney St Apt 6",
            "address_purpose": "LOCATION",
            "city": "El Cerrito",
            "state": "CA",
            "postal_code": "945303100",
            "country_code": "US",
            "telephone_number": "510-426-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBBA",
        "first_name": "PRATIVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "699413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699413",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psubba@baartprograms.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 Market St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941031589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psubba@baartprograms.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 Market St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941031589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psubba@baartprograms.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 Market St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941031589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psubba@baartprograms.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 Market St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941031589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psubba@baartprograms.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 Market St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941031589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psubba@baartprograms.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 Market St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941031589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "baymark.com",
            "affiliation": "N",
            "endpointDescription": "clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 Market St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941031589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mario Suarez
• Nigel Suarez
• Pablo Andres Suarez
• Yari Itssel Suarez
• Paul Elliott Subar, DDS
• Lakshmipriya Subbaraj
• Ponni Subbiah
• Miquette Angelina Subia-Belton
• Eric Jordan Subido, MFTI
• Krystal Joy Subillaga

• Licensed Vocational Nurse in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.