Active NPI
Mary Alice Cavazos, CERTIFIED PHARMACY T
- Pharmacy Technician
- El Centro, CA
National Provider Identifier
1992840599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 350101060360213
- Practice address
- 1600 S Imperial Ave
El Centro, CA 92243 - Phone
- (760) 353-5130
- Fax
- (760) 353-4556
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 350101060360213 | CA | Primary |
Addresses
Primary practice location
1600 S Imperial Ave
El Centro, CA 92243
Mailing address
1600 S Imperial Ave
El Centro, CA 92243
Phone (760) 353-5130
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
| License | State | Type | Specialty |
|---|---|---|---|
| 350101060360213 | CA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992840599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S IMPERIAL AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "92243",
"telephone_number": "760-353-5130",
"fax_number": "760-353-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S IMPERIAL AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "92243",
"telephone_number": "760-353-5130",
"fax_number": "760-353-4556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVAZOS",
"first_name": "MARY",
"middle_name": "ALICE",
"name_prefix": "Ms.",
"credential": "CERTIFIED PHARMACY T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "350101060360213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.