Active NPI
Allison Espinosa Panganiban
- Student in an Organized Health Care Education/Training Program
- West Roxbury, MA
National Provider Identifier
1467636118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 071676
- Practice address
- 4993 Washington St
West Roxbury, MA 02132-2146 - Phone
- (617) 413-6537
- NPI assigned
- Dec 18, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 071676 | MA | Primary |
Addresses
Primary practice location
4993 Washington St
West Roxbury, MA 02132-2146
Mailing address
4993 Washington St
West Roxbury, MA 02132-2146
Phone (617) 413-6537
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 |
|---|---|---|---|
| 071676 | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1467636118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4993 WASHINGTON ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021322146",
"telephone_number": "617-413-6537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4993 WASHINGTON ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021322146",
"telephone_number": "617-413-6537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANGANIBAN",
"first_name": "ALLISON",
"middle_name": "ESPINOSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "071676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.