Organization Active NPI

Contra Costa Health Services

  • Licensed Vocational Nurse
  • Fairfield, CA
National Provider Identifier
1144357302
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN191090 Issued in CA
Legal business name
CONTRA COSTA HEALTH SERVICES
Practice address
2132 Ellington PL
Fairfield, CA 94533-2608
Phone
(925) 335-4707
Fax
(925) 335-4718
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Mrs. Maritess Cerbas Rayrao
Title
L.V.N.
Phone
(925) 335-4707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164X00000X VN191090 CA Primary

Addresses

Primary practice location

2132 Ellington PL
Fairfield, CA 94533-2608

Mailing address

2132 Ellington Place
Fairfield, CA 94533

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1144357302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 ELLINGTON PLACE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 ELLINGTON PL",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945332608",
            "telephone_number": "925-335-4707",
            "fax_number": "925-335-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "RAYRAO",
        "authorized_official_first_name": "MARITESS",
        "authorized_official_middle_name": "CERBAS",
        "authorized_official_title_or_position": "L.V.N.",
        "authorized_official_telephone_number": "925-335-4707",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN191090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.