Individual provider Active NPI

Rita Renee Coggeshall

  • Licensed Vocational Nurse
  • Castro Valley, CA
National Provider Identifier
1154294593
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
242890 Issued in CA
Practice address
15200 Foothill Blvd
Castro Valley, CA 94578-1013
Phone
(510) 352-9690
Fax
(510) 352-9564
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164X00000X 242890 CA Primary

Addresses

Primary practice location

15200 Foothill Blvd
Castro Valley, CA 94578-1013

Mailing address

15200 Foothill Blvd
Castro Valley, CA 94578-1013
Phone (510) 352-9690

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
242890CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1154294593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 FOOTHILL BLVD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945781013",
            "telephone_number": "510-352-9690",
            "fax_number": "510-352-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 FOOTHILL BLVD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945781013",
            "telephone_number": "510-352-9690",
            "fax_number": "510-352-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGESHALL",
        "first_name": "RITA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "242890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.