Roberto Vargas-Pantoja

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN696899 Issued in CA

Practice address

1904 Richland Ave BLDG a
Ceres, CA 95307-4562

Phone

(209) 300-8800

NPI assigned

Aug 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1063992006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 WALNUT WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953513082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 RICHLAND AVE BLDG A",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953074562",
            "telephone_number": "209-300-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS-PANTOJA",
        "first_name": "ROBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN696899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Valenzuela, LCSW
• Reyna Lucero Valle Mariscal
• Valley Primary & Urgent Care PC
• Valerie Denise Van Tuinen, BHS
• Robin Neal Vanderheiden, CAS
• Arianna Vasquez
• Dana Michelle Vaughan
• Vlascovia Marlene Velasco Rios, PA
• Dawn Vercelli, CADC-CAS
• James Verma

• Licensed Vocational Nurse in Ceres, CA
• Providers in Ceres, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.