Individual provider Active NPI

Azucena Rojas Tena, LVN

  • Licensed Vocational Nurse
  • Santa Rosa, CA
National Provider Identifier
1215403126
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN692387 Issued in CA
Practice address
5240 Old Redwood Hwy Apt 5
Santa Rosa, CA 95403-7836
Phone
(707) 236-5034
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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 VN692387 CA Primary

Addresses

Primary practice location

5240 Old Redwood Hwy Apt 5
Santa Rosa, CA 95403-7836

Mailing address

5240 Old Redwood Hwy Apt 5
Santa Rosa, CA 95403-7836
Phone (707) 236-5034

Other names 1

  • Azucena Rojas de Mendez Other name

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
VN692387CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1215403126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 OLD REDWOOD HWY APT 5",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037836",
            "telephone_number": "707-236-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 OLD REDWOOD HWY APT 5",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037836",
            "telephone_number": "707-236-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS TENA",
        "first_name": "AZUCENA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN692387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZUCENA",
            "last_name": "ROJAS DE MENDEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.