Active NPI
Euredis Chipendo, FNP
- Family Nurse Practitioner
- Dublin, CA
National Provider Identifier
1912010703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP14654
- Practice address
- 3918 Fallon Rd
Dublin, CA 94568-4276 - Phone
- (800) 972-5547
- NPI assigned
- Aug 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | NP14654 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP14654 | CA | Primary |
Addresses
Primary practice location
3918 Fallon Rd
Dublin, CA 94568-4276
Mailing address
2350 W El Camino Real FL 2
Mountain View, CA 94040-6203
Phone (800) 972-5547
Other practice location 1
576 El Camino Real
CVS Minute Clinic #9700
Sunnyvale, CA 94087
Phone (408) 739-4620
Other practice location 2
576 El Camino Real
CVS Minute Clinic #9700
Sunnyvale, CA 94087
Phone (408) 739-4620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912010703 | Other | CA | NPI |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP14654 | CA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1912010703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W EL CAMINO REAL FL 2",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940406203",
"telephone_number": "800-972-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3918 FALLON RD",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945684276",
"telephone_number": "800-972-5547"
}
],
"practiceLocations": [
{
"address_1": "576 El Camino Real",
"address_2": "CVS Minute Clinic #9700",
"address_purpose": "LOCATION",
"city": "Sunnyvale",
"state": "CA",
"postal_code": "94087",
"country_code": "US",
"telephone_number": "408-739-4620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "576 El Camino Real",
"address_2": "CVS Minute Clinic #9700",
"address_purpose": "LOCATION",
"city": "Sunnyvale",
"state": "CA",
"postal_code": "94087",
"country_code": "US",
"telephone_number": "408-739-4620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIPENDO",
"first_name": "EUREDIS",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "NP14654",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP14654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1912010703",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.