Individual provider Active NPI

Carmen Armitage

  • Licensed Vocational Nurse
  • El Monte, CA
National Provider Identifier
1144744749
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN196660 Issued in CA
Practice address
3430 Cogswell Rd
El Monte, CA 91732-2785
Phone
(626) 453-3406
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
VN196660CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Penny Lane Centers Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN196660 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

3430 Cogswell Rd
El Monte, CA 91732-2785

Mailing address

3430 Cogswell Rd
El Monte, CA 91732-2785
Phone (626) 453-3406

Other practice location 1

15302 Rayen St
North Hills, CA 91343-5118
Phone (818) 892-3423

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
95-2633765OtherCAMEDI-CAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2021.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1144744749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 COGSWELL RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322785",
            "telephone_number": "626-453-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 COGSWELL RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322785",
            "telephone_number": "626-453-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15302 Rayen St",
            "address_purpose": "LOCATION",
            "city": "North Hills",
            "state": "CA",
            "postal_code": "913435118",
            "country_code": "US",
            "telephone_number": "818-892-3423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARMITAGE",
        "first_name": "CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2021-01-11",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN196660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "95-2633765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.