Basic Information
| Provider Information | |||||||||
| NPI: | 1942734744 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DEPIZZO | ||||||||
| FirstName: | ALMA | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 DEEP VALLEY DR STE 319 | ||||||||
| Address2: | |||||||||
| City: | ROLLING HILLS ESTATES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902747604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3109770624 | ||||||||
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| Practice Location | |||||||||
| Address1: | 39500 LIBERTY ST | ||||||||
| Address2: | |||||||||
| City: | FREMONT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945382211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5107708040 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2017 | ||||||||
| LastUpdateDate: | 08/02/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 95006366 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.