Wilburt Gerald Vanderburg II, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

495971 Issued in CA

Practice address

10802 College PL
Cerritos, CA 90703-1579

Phone

(562) 924-9581

NPI assigned

Jul 28, 2019

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564272000000",
    "number": "1245884337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 FLORISTA ST STE 1D",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202488",
            "telephone_number": "562-572-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10802 COLLEGE PL",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031579",
            "telephone_number": "562-924-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERBURG",
        "first_name": "WILBURT",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "495971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar E Valenzuela, D.D.S.
• Yanyne Valles
• Maria T. Valmidiano-Wilson, CRNA, MSN
• Shawn Todd Van Enoo, D.P.M.
• Stephanie Dawn Van Tuyl
• Garrett J Vanginkel
• Andrew Martin Varela
• Mayra Vargas-Garcia
• Emilia Vargas
• Janisha Vargas

• Psychiatric/Mental Health Registered Nurse in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; 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.