Individual provider Active NPI

Bona Parlindungan, LVN

  • Licensed Vocational Nurse
  • Lincoln, CA
National Provider Identifier
1144943663
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
278267 Issued in CA
Practice address
1900 Dresden Dr
Lincoln, CA 95648-8803
Phone
(916) 543-5400
NPI assigned
Sep 20, 2022
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 278267 CA Primary

Addresses

Primary practice location

1900 Dresden Dr
Lincoln, CA 95648-8803

Mailing address

4753 Pismo Beach Dr
Antelope, CA 95843-4325
Phone (916) 472-8211

Other identifiers 1

IdentifierTypeStateIssuer
278267OtherCABOARD OF VOCATIONAL NURSING & PSYCHIATRIC TECHNICIANS

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
278267CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1144943663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 PISMO BEACH DR",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958434325",
            "telephone_number": "916-472-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DRESDEN DR",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488803",
            "telephone_number": "916-543-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARLINDUNGAN",
        "first_name": "BONA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "278267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF VOCATIONAL NURSING & PSYCHIATRIC TECHNICIANS",
            "identifier": "278267",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.