Indiana University

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

INDIANA UNIVERSITY

Practice address

19100 Crest Ave
Apt 88
Castro Valley, CA 94546-8661

Phone

(818) 464-8207

NPI assigned

May 27, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Brianne Nickel

Title

Residency Coordinator

Phone

(317) 274-4966

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1972915817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 CREST AVE",
            "address_2": "APT 88",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945468661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 CREST AVE",
            "address_2": "APT 88",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945468661",
            "telephone_number": "818-464-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "NICKEL",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_title_or_position": "RESIDENCY COORDINATOR",
        "authorized_official_telephone_number": "317-274-4966",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Ibrahim
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• Adebimpe Ikeh
• Maya Athena Schnupp Imperial
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• Dennis James Ingram, PHYSICAL THERAPIST
• Ristina Ingram
• Insight Health Corp
• Diego Valenzuela Inzunza

• General Acute Care Hospital in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.