Individual provider Active NPI

Ma Joahnna Baena, LVN

  • Licensed Vocational Nurse
  • East Rancho Dominguez, CA
National Provider Identifier
1205798212
Registry record updated Feb 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
278687 Issued in CA
Practice address
1005 E Rosecrans Ave
East Rancho Dominguez, CA 90221-2149
Phone
(310) 627-5500
NPI assigned
Nov 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2026

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 278687 CA Primary

Addresses

Primary practice location

1005 E Rosecrans Ave
East Rancho Dominguez, CA 90221-2149

Mailing address

21503 S Rosita Dr
Carson, CA 90745-1656

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
278687CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1764201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1205798212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21503 S ROSITA DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E ROSECRANS AVE",
            "city": "EAST RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902212149",
            "telephone_number": "310-627-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAENA",
        "first_name": "MA JOAHNNA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-27",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "278687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rancho Dominguez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; 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.