Active NPI
Ivana Adams, L E
- Other Technician
- Pinole, CA
National Provider Identifier
1447625207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- L9466
- Practice address
- 1685 San Pablo Ave
Pinole, CA 94564-2011 - Phone
- (510) 599-9505
- NPI assigned
- Dec 4, 2015
- 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 | L9466 | CA | Primary |
Addresses
Primary practice location
1685 San Pablo Ave
Pinole, CA 94564-2011
Mailing address
4172 Garden Rd
El Sobrante, CA 94803-2229
Phone (510) 599-9505
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
| License | State | Type | Specialty |
|---|---|---|---|
| L9466 | CA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1447625207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4172 GARDEN RD",
"city": "EL SOBRANTE",
"state": "CA",
"postal_code": "948032229",
"telephone_number": "510-599-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1685 SAN PABLO AVE",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642011",
"telephone_number": "510-599-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "IVANA",
"credential": "L E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-04",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": "L9466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinole, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.