Active NPI
Ernestina Ana Tellez, LVN
- Licensed Vocational Nurse
- Oxnard, CA
National Provider Identifier
1245672112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN 248996
- Practice address
- 1072 Simon Way
Oxnard, CA 93036-1429 - Phone
- (805) 236-8993
- NPI assigned
- Jul 22, 2013
- Last updated
- Jan 24, 2014
- Sex
- Female
- 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 248996 | CA | Primary |
Addresses
Primary practice location
1072 Simon Way
Oxnard, CA 93036-1429
Mailing address
PO Box 50954
Oxnard, CA 93031-0954
Phone (805) 236-8993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96952160E | Other | CA | MEDI-CAL |
Other names 1
- Ernestina Ana Meza
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 248996 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1245672112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50954",
"city": "OXNARD",
"state": "CA",
"postal_code": "930310954",
"telephone_number": "805-236-8993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 SIMON WAY",
"city": "OXNARD",
"state": "CA",
"postal_code": "930361429",
"telephone_number": "805-236-8993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLEZ",
"first_name": "ERNESTINA",
"middle_name": "ANA",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-22",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN 248996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "96952160E",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERNESTINA",
"last_name": "MEZA",
"middle_name": "ANA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.