Individual provider Active NPI

Vanessa Valdez, LVN

  • Licensed Vocational Nurse
  • Fresno, CA
National Provider Identifier
1093123192
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN255465 Issued in CA
Practice address
3636 N 1St St Ste 162
Fresno, CA 93726-6869
Phone
(559) 476-2166
Fax
(844) 563-6035
NPI assigned
Aug 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN255465 CA Primary

Addresses

Primary practice location

3636 N 1St St Ste 162
Fresno, CA 93726-6869

Mailing address

3636 N 1St St Ste 162
Fresno, CA 93726-6869
Phone (559) 274-0299

Other practice location 1

3636 N 1st St Ste 135
Fresno, CA 93726-6818
Phone (559) 225-1464 ext. 4506

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
VN255465CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1093123192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST STE 162",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266869",
            "telephone_number": "559-274-0299",
            "fax_number": "844-563-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST STE 162",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266869",
            "telephone_number": "559-476-2166",
            "fax_number": "844-563-6035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 N 1st St Ste 135",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266818",
            "country_code": "US",
            "telephone_number": "559-225-1464 x4506",
            "fax_number": "844-601-2973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "VANESSA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN255465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.