Organization Active NPI

Phlex65 Inc.

Doing business as Phlex65

  • Prevention Professional
  • San Jose, CA
National Provider Identifier
1932937257
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
PHLEX65 INC.
Doing business as
Phlex65
Practice address
1089 Lincoln Ave
San Jose, CA 95125-3155
Phone
(408) 828-1511
NPI assigned
Jul 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Ana Likubiau Jones, GERONTOLOGY SPECIALI
Title
Founder
Phone
(408) 828-1511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention ProfessionalGroup: 193400000X SINGLE SPECIALTY GROUP 405300000X Primary

Addresses

Primary practice location

1089 Lincoln Ave
San Jose, CA 95125-3155

Mailing address

PO Box 26593
San Jose, CA 95159-6593
Phone (408) 828-1511

Other names 1

  • Phlex65 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1932937257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26593",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951596593",
            "telephone_number": "408-828-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253155",
            "telephone_number": "408-828-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHLEX65 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "LIKUBIAU",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "408-828-1511",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "GERONTOLOGY SPECIALI"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phlex65",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.