Active NPI
Viridiana Vargas
- Rehabilitation Practitioner
- West Covina, CA
National Provider Identifier
1154670065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 1517 W Garvey Ave N
West Covina, CA 91790-2138 - Phone
- (626) 254-5027
- Fax
- (626) 294-1079
- NPI assigned
- Sep 6, 2012
- Last updated
- Sep 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
1517 W Garvey Ave N
West Covina, CA 91790-2138
Mailing address
4860 Stancroft Ave
Baldwin Park, CA 91706-1932
Phone (626) 856-5779
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1154670065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 STANCROFT AVE",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917061932",
"telephone_number": "626-856-5779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 W GARVEY AVE N",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902138",
"telephone_number": "626-254-5027",
"fax_number": "626-294-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "VIRIDIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.