Organization Active NPI

Carmel Valley First Assistants, LLC

  • Family Nurse Practitioner
  • Encinitas, CA
National Provider Identifier
1497996664
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP11272 Issued in CA
Legal business name
CARMEL VALLEY FIRST ASSISTANTS, LLC
Practice address
1622 Pleasant PL
Encinitas, CA 92024-1975
Phone
(760) 579-2440
Fax
(760) 579-2440
NPI assigned
Mar 17, 2009
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Dr. Dolores L. Fazzino, RN, DNP, FNP-BCNPI 1366449563
Title
President
Phone
(760) 579-2440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP11272 CA Primary

Addresses

Primary practice location

1622 Pleasant PL
Encinitas, CA 92024-1975

Mailing address

1622 Pleasant PL
Encinitas, CA 92024-1975
Phone (760) 579-2440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1497996664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 PLEASANT PL",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241975",
            "telephone_number": "760-579-2440",
            "fax_number": "760-579-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 PLEASANT PL",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241975",
            "telephone_number": "760-579-2440",
            "fax_number": "760-579-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL VALLEY FIRST ASSISTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "FAZZINO",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-579-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP11272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.