Objects / Clinician
Clinician Stored source record
KENNY JUNIOR RODRIGUEZ TRUJILLO
250 BON AIR ROAD, UNIT B - 1ST FLOOR (ACCESS TEAM), GREENBRAE, CA, 94904
atlas:atm_npi_1003406810
What is stored
- status
- A
- address
- 250 BON AIR ROAD, UNIT B - 1ST FLOOR (ACCESS TEAM), GREENBRAE, CA, 94904
- npi
- 1003406810
- license
- MPSS-IJQGWM
- taxonomy
- Peer Specialist
- other names
- []
- last updated
- 2024-04-08
- license state
- CA
- taxonomy code
- 175T00000X
- all taxonomies
- ["Behavior Technician","Rehabilitation Practitioner","Peer Specialist"]
- sole proprietor
- NO
- enumeration date
- 2021-01-25
- enumeration type
- NPI-1
- practice locations
- 1
Connected objects
has profession
Up to 200 incoming and 200 outgoing links shown. 0 incoming links in total.
Read and page through the edgesThe same object as JSON
Open JSON · Atlas source representation
Read fact fields
{
"npi": "1003406810",
"status": "A",
"address": "250 BON AIR ROAD, UNIT B - 1ST FLOOR (ACCESS TEAM), GREENBRAE, CA, 94904",
"license": "MPSS-IJQGWM",
"taxonomy": "Peer Specialist",
"other_names": [],
"last_updated": "2024-04-08",
"license_state": "CA",
"taxonomy_code": "175T00000X",
"all_taxonomies": [
"Behavior Technician",
"Rehabilitation Practitioner",
"Peer Specialist"
],
"sole_proprietor": "NO",
"enumeration_date": "2021-01-25",
"enumeration_type": "NPI-1",
"practice_locations": 1
}