Individual provider Active NPI

Raymund Mora Lontoc

  • Licensed Vocational Nurse
  • Los Angeles, CA
National Provider Identifier
1184743213
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
217271 Issued in CA
Practice address
131 N Normandie Ave Apt 1
Los Angeles, CA 90004-4592
Phone
(323) 683-1630
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 217271 CA Primary

Addresses

Primary practice location

131 N Normandie Ave Apt 1
Los Angeles, CA 90004-4592

Mailing address

131 N Normandie Ave Apt 1
Los Angeles, CA 90004-4592
Phone (323) 683-1630

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
217271CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Care Health Services LLC Current Accepting new patients
Angels Heart Hospice Care LLC Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184743213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N NORMANDIE AVE APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044592",
            "telephone_number": "323-683-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N NORMANDIE AVE APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044592",
            "telephone_number": "323-683-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONTOC",
        "first_name": "RAYMUND",
        "middle_name": "MORA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "217271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.