Jenny Agtarap

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN278257 Issued in CA

Practice address

21816 1/2 Grace Ave
Carson, CA 90745-3272

Phone

(424) 283-1838

NPI assigned

Dec 1, 2016

Sex

Female

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": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1124561600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21816 1/2 GRACE AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453272",
            "telephone_number": "424-283-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21816 1/2 GRACE AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453272",
            "telephone_number": "424-283-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGTARAP",
        "first_name": "JENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN278257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ade Osibamiro MD Inc
• Amanda Aden, PA
• Cydanni Adenikinju, MPH, CHES
• Elsie Adoc, DMD
• Joel A Agacid Jr., RCP
• Katherine Aguilar
• May Aguilar, RNP
• Manuel C Aguilera, M.D.
• Estrella Azurin Aguinaldo, M.D.
• Montserrat Aguirre

• All providers in Carson, CA
• Licensed Vocational Nurse in California

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