Active NPI
Hazel Bongoyan Centeno, RPH
- Pharmacist
- San Pablo, CA
National Provider Identifier
1487935433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH62089
- Practice address
- 3400 Richmond Pkwy
Apt. 4211
San Pablo, CA 94806-5207 - Phone
- (510) 275-3823
- NPI assigned
- Sep 5, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH62089 | CA | Primary |
Addresses
Primary practice location
3400 Richmond Pkwy
Apt. 4211
San Pablo, CA 94806-5207
Mailing address
3400 Richmond Pkwy
Apt. 4211
San Pablo, CA 94806-5207
Phone (510) 275-3823
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH62089 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315180800000",
"number": "1487935433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 RICHMOND PKWY",
"address_2": "APT. 4211",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948065207",
"telephone_number": "510-275-3823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 RICHMOND PKWY",
"address_2": "APT. 4211",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948065207",
"telephone_number": "510-275-3823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTENO",
"first_name": "HAZEL",
"middle_name": "BONGOYAN",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-05",
"last_updated": "2011-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH62089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.