Individual provider Active NPI

Albert Falley, LVN

  • Licensed Vocational Nurse
  • Merced, CA
National Provider Identifier
1003221722
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN281175 Issued in CA
Practice address
301 E 13TH St
Merced, CA 95341-6211
Phone
(209) 386-1096
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN281175 CA Primary
Licensed Practical Nurse 164W00000X VN 281175 CA

Addresses

Primary practice location

301 E 13TH St
Merced, CA 95341-6211

Mailing address

PO Box 387
8925 West K Street
South Dos Palos, CA 93665-0387
Phone (209) 392-3240

Other practice location 1

8925 west k street
South DOS PALOS, CA 93665-0387
Phone (209) 392-3240

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

LicenseStateTypeSpecialty
VN 281175CAMDLicensed Practical Nurse
VN281175CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1003221722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "address_2": "8925 WEST K STREET",
            "city": "SOUTH DOS PALOS",
            "state": "CA",
            "postal_code": "936650387",
            "telephone_number": "209-392-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 13TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416211",
            "telephone_number": "209-386-1096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8925 west k street",
            "address_purpose": "LOCATION",
            "city": "South DOS PALOS",
            "state": "CA",
            "postal_code": "936650387",
            "country_code": "US",
            "telephone_number": "209-392-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLEY",
        "first_name": "ALBERT",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN281175",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN 281175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.