Active NPI
Nurses for Safe Access
- General Practice Physician
- Blue Jay, CA
National Provider Identifier
1831640903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- NURSES FOR SAFE ACCESS
- Practice address
- 27209 Highway 189
Blue Jay, CA 92317-1221 - Phone
- (909) 336-4032
- NPI assigned
- Oct 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda West-Conforti
- Title
- Ceo
- Phone
- (909) 336-4032
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Diabetes Educator Registered Nurse | 163WD0400X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
27209 Highway 189
Blue Jay, CA 92317-1221
Mailing address
PO Box 1221
Blue Jay, CA 92317-1221
Phone (909) 336-4032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265989727 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Nurses for Safe Access
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diabetes Educator Registered Nurse
- Blue Jay, CA
- NPI 1265989727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477267200000",
"number": "1831640903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1221",
"city": "BLUE JAY",
"state": "CA",
"postal_code": "923171221",
"telephone_number": "909-336-4032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27209 HIGHWAY 189",
"city": "BLUE JAY",
"state": "CA",
"postal_code": "923171221",
"telephone_number": "909-336-4032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSES FOR SAFE ACCESS",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A",
"authorized_official_last_name": "WEST-CONFORTI",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-336-4032"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Diabetes Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265989727",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blue Jay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.