Individual provider Active NPI

Nydia Sanchez Kimp

  • Private Vehicle
  • Mission Hills, CA
National Provider Identifier
1982094314
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
A1529271 Issued in CA
Practice address
15530 Tuba St
Mission Hills, CA 91345-2617
Phone
(818) 471-8488
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X A1529271 CA Primary
Private Vehicle 347C00000X B6746157 CA

Addresses

Primary practice location

15530 Tuba St
Mission Hills, CA 91345-2617

Mailing address

15530 Tuba St
Mission Hills, CA 91345-2617
Phone (818) 471-8488

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A1529271CAMDPrivate Vehicle
B6746157CAMDPrivate Vehicle

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1982094314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15530 TUBA ST",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452617",
            "telephone_number": "818-471-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15530 TUBA ST",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452617",
            "telephone_number": "818-471-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMP",
        "first_name": "NYDIA",
        "middle_name": "SANCHEZ",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CA",
            "license": "A1529271",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CA",
            "license": "B6746157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.