Alejandra Jaimes Bedolla

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

CPT00012416 Issued in CA

Practice address

710 K St Apt B
Sanger, CA 93657-2665

Phone

(559) 899-4588

NPI assigned

Mar 27, 2017

Last updated

Mar 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alejandra Bedolla Jaimes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1528599875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936570081",
            "telephone_number": "559-899-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 K ST APT B",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572665",
            "telephone_number": "559-899-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOLLA",
        "first_name": "ALEJANDRA",
        "middle_name": "JAIMES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT00012416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEJANDRA",
            "last_name": "BEDOLLA JAIMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barr Pharmacy Inc (Barr Pharmacy)
• Bautista Health Care, Inc.
• Bautista Rural Medical Clinics, Inc.
• Jose Luis Bautista, M.D.
• Lacie Danielle Beasley, LPT
• John Bejeckian
• Felicia Betancourt
• Blue Line Medical Transportation LLC
• Kelly V Boulom, DDS
• Cia M Brooks, DDS

• Phlebotomy Technician in Sanger, CA
• Providers in Sanger, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.