Rodolfo Gatbonton, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

165254 Issued in CA

Practice address

857 S Pagossa Way
Anaheim, CA 92808-2362

Phone

(714) 390-8580

NPI assigned

Aug 13, 2022

Sex

Male

Sole proprietor

Yes

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": "1660348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1093443301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 S PAGOSSA WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082362",
            "telephone_number": "714-390-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 S PAGOSSA WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082362",
            "telephone_number": "714-390-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATBONTON",
        "first_name": "RODOLFO",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-13",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "165254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lady Diane Gaska
• Deborah J Gaskins, PA
• Maria Johanna Silva Gaspar
• Derek Gasper
• Sheila Marie Gaston-Cruz, M.S., P.P.S.
• Leandro Gatdula, CRNA
• Courtlandt Bigelow Gates, LMFT
• Ariel Monsanto Gavino, M.D.
• Felix Roa Gaw, M.D.
• Sonali Shivram Gawde

• Licensed Practical Nurse in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.