Organization Active NPI

Standard Bearer Consulting LLC

  • Home Health Registered Nurse
  • San Mateo, CA
National Provider Identifier
1992389837
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
STANDARD BEARER CONSULTING LLC
Practice address
1730 S Amphlett Blvd Ste 107
San Mateo, CA 94402-2709
Phone
(650) 844-7442
Fax
(650) 523-4444
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Bonn Anthony Cervantes Paje, CERTIFIED CONSULTANT
Title
Administrator
Phone
(415) 715-4646

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X Primary
Community Based Hospice Care Agency 251G00000X

Addresses

Primary practice location

1730 S Amphlett Blvd Ste 107
San Mateo, CA 94402-2709

Mailing address

1730 S Amphlett Blvd Ste 107
San Mateo, CA 94402-2709
Phone (650) 844-7442

National Provider Directory

National Provider Directory

Locations

1730 S Amphlett Blvd
Ste 107
San Mateo, CA 94402
Phone (650) 844-6442

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1992389837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 S AMPHLETT BLVD STE 107",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022709",
            "telephone_number": "650-844-7442",
            "fax_number": "650-523-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S AMPHLETT BLVD STE 107",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022709",
            "telephone_number": "650-844-7442",
            "fax_number": "650-523-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDARD BEARER CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "PAJE",
        "authorized_official_first_name": "BONN ANTHONY",
        "authorized_official_middle_name": "CERVANTES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-715-4646",
        "authorized_official_credential": "CERTIFIED CONSULTANT"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.