Precious Mary Ita

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95165021 Issued in CA

Practice address

2311 Loveridge Rd
Pittsburg, CA 94565-5117

Phone

(925) 431-2600

NPI assigned

Apr 14, 2021

Last updated

Apr 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1265013023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 CANYON CREEK DR",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945033938",
            "telephone_number": "707-637-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 LOVERIDGE RD",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655117",
            "telephone_number": "925-431-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITA",
        "first_name": "PRECIOUS MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95165021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Hunter
• Dameian Hunter
• Filma D Inaldo
• International Ally Federation
• Lauren Olivia Iroko, OTR/L
• Anita Irene Jackson
• Brian Jackson Sr.
• Jaclyn Nicole Jackson, MA, PPS
• Tina Lorraine Jackson, CNA, HHA
• Siamack Jafari, DMD

• Registered Nurse in Pittsburg, CA
• Providers in Pittsburg, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.