Active NPI
Elizabeth V Sison
- Pharmacy Technician
- La Mesa, CA
National Provider Identifier
1578830568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 12000090
- Practice address
- 8301 La Mesa Blvd
La Mesa, CA 91942-0217 - Phone
- (619) 466-3246
- NPI assigned
- Nov 19, 2011
- Last updated
- Nov 19, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 12000090 | CA | Primary |
Addresses
Primary practice location
8301 La Mesa Blvd
La Mesa, CA 91942-0217
Mailing address
2155 Corte Vista Apt#108
Chula Vista, CA 91915
Phone (619) 946-7870
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 |
|---|---|---|---|
| 12000090 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mactor, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321660800000",
"number": "1578830568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 CORTE VISTA APT#108",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91915",
"telephone_number": "619-946-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 LA MESA BLVD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919420217",
"telephone_number": "619-466-3246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISON",
"first_name": "ELIZABETH",
"middle_name": "V",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-19",
"last_updated": "2011-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "12000090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.