Active NPI
Consuela Bolanos
- Licensed Vocational Nurse
- Belmont, CA
National Provider Identifier
1053853689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN222079
- Practice address
- 300 Harbor Blvd
Belmont, CA 94002-4018 - Phone
- (650) 817-9070
- Fax
- (650) 817-9074
- NPI assigned
- Nov 14, 2016
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN222079 | CA | Primary |
Addresses
Primary practice location
300 Harbor Blvd
Belmont, CA 94002-4018
Mailing address
300 Harbor Blvd
Belmont, CA 94002-4018
Phone (650) 817-9070
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 |
|---|---|---|---|
| VN222079 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1053853689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HARBOR BLVD",
"city": "BELMONT",
"state": "CA",
"postal_code": "940024018",
"telephone_number": "650-817-9070",
"fax_number": "650-817-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HARBOR BLVD",
"city": "BELMONT",
"state": "CA",
"postal_code": "940024018",
"telephone_number": "650-817-9070",
"fax_number": "650-817-9074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLANOS",
"first_name": "CONSUELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-14",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN222079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.