Individual provider Active NPI

Riza Alma Vinzon, NP

  • Adult Health Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1063691061
Registry record updated Oct 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
314610 Issued in CA
Practice address
4401 Atlantic Ave Ste 202
Long Beach, CA 90807
Phone
(562) 988-2777
Fax
(562) 988-2779
NPI assigned
Oct 26, 2007
Last updated
Oct 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 314610 CA Primary

Addresses

Primary practice location

4401 Atlantic Ave Ste 202
Long Beach, CA 90807

Mailing address

4401 Atlantic Ave Ste 202
Long Beach, CA 90807-2252
Phone (562) 988-2777

Other practice location 1

5122 Katella Ave Ste 308
Los Alamitos, CA 90720-2898
Phone (562) 594-8555

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2788CAMDAudiologist
314610CAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540080000000",
    "number": "1063691061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072252",
            "telephone_number": "562-988-2777",
            "fax_number": "562-988-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "562-988-2777",
            "fax_number": "562-988-2779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5122 Katella Ave Ste 308",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907202898",
            "country_code": "US",
            "telephone_number": "562-594-8555",
            "fax_number": "562-594-8557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINZON",
        "first_name": "RIZA",
        "middle_name": "ALMA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2018-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "314610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2018; 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.