Individual provider Active NPI

Genevieve Dace, N.P.

  • Primary Care Clinic/Center
  • Pittsburg, CA
National Provider Identifier
1396991360
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Practice address
3814 Arlington Cir
Pittsburg, CA 94565-7013
Phone
(925) 623-6094
NPI assigned
Aug 11, 2008
Last updated
Aug 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

3814 Arlington Cir
Pittsburg, CA 94565-7013

Mailing address

3814 Arlington Cir
Pittsburg, CA 94565-7013
Phone (925) 623-6094

Other names 1

  • Genevieve Dace-Ramirez Former name

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
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Day Program Current Accepting new patients
Revitalize Care Home Current Accepting new patients
JRB Sullivan Enterprises, Inc. Current Accepting new patients
Genevieve Dace Inc Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1396991360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 ARLINGTON CIR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945657013",
            "telephone_number": "925-623-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 ARLINGTON CIR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945657013",
            "telephone_number": "925-623-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACE",
        "first_name": "GENEVIEVE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "DACE-RAMIREZ",
            "credential": "MSN,FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.