Active NPI
Phlex65 Inc.
Doing business as Phlex65
- Prevention Professional
- San Jose, CA
National Provider Identifier
1932937257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 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
National Provider Directory
National Provider DirectoryNPI 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.