Wisal Fare is a Adult Health in Antioch, California. Wisal Fare practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Wisal Fare is 1578525598. The last update date is 2014-09-23.
Wisal Fare's current location address is 4721 Dallas Ranch Rd, Antioch, California. You can contact this provider via phone number 9257780679 and fax number 9257783567. The mailing address for Wisal Fare is 4721 Dallas Ranch Rd, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wisal Fare |
|---|---|
| Address | 4721 Dallas Ranch Rd, Antioch, California |
| Phone Number | 9257780679 |
| Fax Number | 9257783567 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1578525598 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2014-09-23 |
Provider Mailing Address Detail
| Address | 4721 Dallas Ranch Rd |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945318811 |
| Phone Number | 9257780679 |
| Fax Number | 9257783567 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 364Sa2200X |
| Licence No | PA13725 |
|
Definition: An advanced practice registered nurse with expertise in specialized nursing care for adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110006522 | CA | PTAN | |
| ZZZ15328Z | CA | PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Wisal Fare by the Centers for Medicare & Medicaid Services (CMS)?
The Wisal Fare has been assigned the NPI (National Provider Identifier) 1578525598. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Wisal Fare located?
The Wisal Fare is located at 4721 Dallas Ranch Rd, Antioch, CA 945318811.
What is Wisal Fare's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wisal Fare's specialized field of practice is Adult Health, and the corresponding taxonomy code that categorizes this area of specialization is 364Sa2200X.
On what date did the Wisal Fare receive its 1578525598 assignment from the Centers for Medicare & Medicaid Services?
The Wisal Fare was assigned its 1578525598 by the Centers for Medicare & Medicaid Services on 2006-04-05.
When was the information regarding Wisal Fare most recently updated?
The details pertaining to the Wisal Fare, including its address, specialty, and other relevant information, were last refreshed on 2014-09-23.
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