Individual provider Active NPI

Vivencia Gatchalian Ramones

  • Licensed Vocational Nurse
  • Elk Grove, CA
National Provider Identifier
1184192817
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN206825 Issued in CA
Practice address
9158 Aegina CT
Elk Grove, CA 95758-5105
Phone
(916) 807-5792
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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 VN206825 CA Primary

Addresses

Primary practice location

9158 Aegina CT
Elk Grove, CA 95758-5105

Mailing address

9158 Aegina CT
Elk Grove, CA 95758-5105
Phone (916) 807-5792

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
VN206825CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1184192817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9158 AEGINA CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585105",
            "telephone_number": "916-807-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9158 AEGINA CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585105",
            "telephone_number": "916-807-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMONES",
        "first_name": "VIVENCIA",
        "middle_name": "GATCHALIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN206825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.