Sherry Lynn Fallenstein I, M.S.C.C.C

Primary specialty

Pathology Specialist/TechnologistTaxonomy code 246Q00000X

License

27-0680139 Issued in CA

Practice address

PO Box 4543
Chatsworth, CA 91313-4543

Phone

(818) 521-4474

Fax

(818) 488-9612

NPI assigned

Aug 29, 2024

Last updated

Sep 3, 2024By 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

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": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1689408767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4543",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913134543",
            "telephone_number": "818-521-4474",
            "fax_number": "818-488-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 4543",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913134543",
            "telephone_number": "818-521-4474",
            "fax_number": "818-488-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLENSTEIN",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "M.S.C.C.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": "CA",
            "license": "27-0680139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pathology Specialist/Technologist in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Pathology Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.