Austin Mbata, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN715353 Issued in CA

Practice address

2468 Kaiser Way
Antioch, CA 94531-9064

Phone

(925) 499-7380

NPI assigned

Feb 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1124612890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2468 KAISER WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945319064",
            "telephone_number": "925-499-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2468 KAISER WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945319064",
            "telephone_number": "925-499-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBATA",
        "first_name": "AUSTIN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CA",
            "license": "01004170",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN715353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tun Tun Maung, MD
• Elizabeth Maya
• Sabrina Mayberry
• Tiana Mayberry
• Afoma C Mbanugo, FNP
• Rodah W Mburu
• Sloan M MC Donald, DDS
• Eve Ann McCarthy, FNP
• Jennifer Alene McClain, LMFT
• Joseph T McCormick, PA-C

• Licensed Vocational Nurse in Antioch, CA
• Providers in Antioch, 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 Feb 23, 2021; 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.