Active NPI
Jose Isaac Garza, LVN
- Licensed Vocational Nurse
- Pasadena, CA
National Provider Identifier
1235360355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN 199993
- Practice address
- 66 Hurlbut St
Pasadena, CA 91105-4025 - Phone
- (626) 441-4221
- Fax
- (626) 441-6479
- NPI assigned
- Aug 6, 2009
- Sex
- Male
- 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 | VN 199993 | CA | Primary |
Addresses
Primary practice location
66 Hurlbut St
Pasadena, CA 91105-4025
Mailing address
315 E Broadway Apt 214
San Gabriel, CA 91776-6826
Phone (323) 691-6590
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 |
|---|---|---|---|
| VN 199993 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1235360355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E BROADWAY APT 214",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917766826",
"telephone_number": "323-691-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 HURLBUT ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911054025",
"telephone_number": "626-441-4221",
"fax_number": "626-441-6479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "JOSE",
"middle_name": "ISAAC",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN 199993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.