Active NPI
Aldwin Dador De Los Santos, LVN
- Licensed Vocational Nurse
- Yuba City, CA
National Provider Identifier
1124318019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN213537
- Practice address
- 1965 Live Oak Blvd
Yuba City, CA 95991-8850 - Phone
- (530) 822-7209
- NPI assigned
- Apr 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN213537 | CA | Primary |
Addresses
Primary practice location
1965 Live Oak Blvd
Yuba City, CA 95991-8850
Mailing address
1020 Bridge St
Yuba City, CA 95991-3601
Phone (530) 755-4823
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
| License | State | Type | Specialty |
|---|---|---|---|
| VN213537 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1124318019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 BRIDGE ST",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959913601",
"telephone_number": "530-755-4823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959918850",
"telephone_number": "530-822-7209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LOS SANTOS",
"first_name": "ALDWIN",
"middle_name": "DADOR",
"name_prefix": "Mr.",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-12",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN213537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.