Individual provider Active NPI

Ronald Jarvina, RN

  • Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1063961019
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
777479 Issued in CA
Practice address
1860 Lansdowne Ave
Los Angeles, CA 90032-4144
Phone
(323) 698-6831
NPI assigned
Sep 30, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 777479 CA Primary

Addresses

Primary practice location

1860 Lansdowne Ave
Los Angeles, CA 90032-4144

Mailing address

1860 Lansdowne Ave
Los Angeles, CA 90032-4144
Phone (323) 698-6831

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
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
777479CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1063961019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 LANSDOWNE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900324144",
            "telephone_number": "323-698-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 LANSDOWNE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900324144",
            "telephone_number": "323-698-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVINA",
        "first_name": "RONALD",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "777479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.