Active NPI
Guillerma Tamarra Alfarero, L.V.N.
- Licensed Vocational Nurse
- Fresno, CA
National Provider Identifier
1184777237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 169414
- Practice address
- 5070 E Belgravia Ave
Fresno, CA 93725-1239 - Phone
- (559) 255-3486
- NPI assigned
- Jan 20, 2007
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 169414 | CA | Primary |
Addresses
Primary practice location
5070 E Belgravia Ave
Fresno, CA 93725-1239
Mailing address
6281 N Malsbury Ave
Fresno, CA 93711-0957
Phone (559) 435-5732
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RVN002500 | Medicaid | CA | |
| EPS011420 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 169414 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184777237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6281 N MALSBURY AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937110957",
"telephone_number": "559-435-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5070 E BELGRAVIA AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937251239",
"telephone_number": "559-255-3486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFARERO",
"first_name": "GUILLERMA",
"middle_name": "TAMARRA",
"credential": "L.V.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "169414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RVN002500",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EPS011420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, 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.