Individual provider Active NPI

Norma Elizabeth Riestra

  • Counselor
  • San Jose, CA
National Provider Identifier
1407293822
Registry record updated Sep 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
90 Great Oaks Blvd
108
San Jose, CA 95119-1314
Phone
(408) 281-0708
Fax
(408) 281-2658
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

90 Great Oaks Blvd
108
San Jose, CA 95119-1314

Mailing address

23 Ridgecrest Ter
San Mateo, CA 94402-3997
Phone (510) 731-7369

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379116800000",
    "number": "1407293822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RIDGECREST TER",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023997",
            "telephone_number": "510-731-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 GREAT OAKS BLVD",
            "address_2": "108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191314",
            "telephone_number": "408-281-0708",
            "fax_number": "408-281-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESTRA",
        "first_name": "NORMA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2013; 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.