Individual provider Active NPI

Delosmilagros Plaza de Loza, LVN

  • Licensed Vocational Nurse
  • Manteca, CA
National Provider Identifier
1194601385
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
700744 Issued in CA
Practice address
401 S Airport Way
Manteca, CA 95337-8426
Phone
(209) 456-5801
Fax
(209) 320-3529
NPI assigned
Aug 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 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 Nurse 164X00000X 700744 CA Primary

Addresses

Primary practice location

401 S Airport Way
Manteca, CA 95337-8426

Mailing address

401 S Airport Way
Manteca, CA 95337-8426
Phone (209) 456-5801

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
700744CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1194601385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S AIRPORT WAY",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953378426",
            "telephone_number": "209-456-5801",
            "fax_number": "209-320-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S AIRPORT WAY",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953378426",
            "telephone_number": "209-456-5801",
            "fax_number": "209-320-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAZA DE LOZA",
        "first_name": "DELOSMILAGROS",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "700744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.