Vicki Llaverias, RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

39927 Issued in CA

Practice address

411 4TH St
San Rafael, CA 94901-5716

Phone

(415) 473-5450

Fax

(415) 473-5460

NPI assigned

Mar 18, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1235453325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015716",
            "telephone_number": "415-473-5450",
            "fax_number": "415-473-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015716",
            "telephone_number": "415-473-5450",
            "fax_number": "415-473-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLAVERIAS",
        "first_name": "VICKI",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "39927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Liu, PSY.D.
• Shirley Liu, PHARMD
• Siqi Liu
• Aninha Esperanza Livingstone, PHD
• Marlene Elizabeth Lizarde
• Kathryn Stevenson Lloyd, MFTT
• Melissa Kay Loeffel, PHARM.D.
• Paul William Lofholm, PHARM.D.
• Shantel Loggins
• Meenal Sunit Lohtia, M.D.

• Dental Assistant in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.