Active NPI
Contra Costa Health Services
- Licensed Vocational Nurse
- Fairfield, CA
National Provider Identifier
1144357302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN191090
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 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 DirectoryNPI 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.