Active NPI
Five Acres
- Licensed Vocational Nurse
- Altadena, CA
National Provider Identifier
1205692399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- Legal business name
- FIVE ACRES
- Practice address
- 760 Mountain View St
Altadena, CA 91001-4996 - Phone
- (626) 798-6793
- NPI assigned
- Feb 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isabel Teresa Maldonado, LVN
- Title
- Vocational Nurse
- Phone
- (267) 986-7936
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | Primary |
Addresses
Primary practice location
760 Mountain View St
Altadena, CA 91001-4996
Mailing address
760 Mountain View St
Altadena, CA 91001-4996
Phone (162) 629-8446
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Vocational Nurse
- La Verne, CA
- NPI 1851158380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1205692399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 MOUNTAIN VIEW ST",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910014996",
"telephone_number": "162-629-8446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 MOUNTAIN VIEW ST",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910014996",
"telephone_number": "626-798-6793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE ACRES",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "MALDONADO",
"authorized_official_first_name": "ISABEL",
"authorized_official_middle_name": "TERESA",
"authorized_official_title_or_position": "VOCATIONAL NURSE",
"authorized_official_telephone_number": "267-986-7936",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altadena, CA
- Ivonne Ferandell-Villarino, DC
- Fernando Verdugo, DDS, Corp.
- Claire Finucane
- Five Acres
- Five Acres
- Five Acres- the Boys' and Girls' Aid Society of Los Angeles County
- Five Acres- the Boys' and Girls' Aid Society of Los Angeles County
- Five Acres- the Boys' and Girls' Aid Society of Los Angeles County
- Emma Antoinette Flanagan, CMT
- Mary M Flippen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.