Active NPI
Mayren Lara Estrada, LVN
- Licensed Vocational Nurse
- Ventura, CA
National Provider Identifier
1134448368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN238133
- Practice address
- 300 Hillmont Ave
Ventura, CA 93003-1651 - Phone
- (805) 765-9050
- Fax
- (805) 653-0567
- NPI assigned
- May 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | VN238133 | CA | Primary |
Addresses
Primary practice location
300 Hillmont Ave
Ventura, CA 93003-1651
Mailing address
646 Lemon Way
#24
Fillmore, CA 93015-1125
Phone (805) 765-9050
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 |
|---|---|---|---|
| VN238133 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1134448368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 LEMON WAY",
"address_2": "#24",
"city": "FILLMORE",
"state": "CA",
"postal_code": "930151125",
"telephone_number": "805-765-9050",
"fax_number": "805-653-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HILLMONT AVE",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031651",
"telephone_number": "805-765-9050",
"fax_number": "805-653-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "MAYREN",
"middle_name": "LARA",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-27",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN238133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.