Active NPI
Pascual Nolasco Jr., MSAOM
- Other Technician
- Arcadia, CA
National Provider Identifier
1790051365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 115 E Live Oak Ave Ste 200
Arcadia, CA 91006-5272 - Phone
- (626) 446-1221
- NPI assigned
- Mar 28, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
115 E Live Oak Ave Ste 200
Arcadia, CA 91006-5272
Mailing address
1325 W Garvey Ave N
West Covina, CA 91790-2242
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1790051365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 W GARVEY AVE N",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E LIVE OAK AVE STE 200",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910065272",
"telephone_number": "626-446-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLASCO",
"first_name": "PASCUAL",
"name_suffix": "Jr.",
"credential": "MSAOM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-28",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.