Robert Tyree Mason Jr., LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN 215679 Issued in CA

Practice address

5703 Shetland CT
Oceanside, CA 92057-5720

Phone

(760) 940-5279

NPI assigned

Jun 17, 2010

Last updated

Jun 17, 2010By the provider in NPPES

Sex

Male

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": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1275854929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4263 OCEANSIDE BLVD UNIT 106-114",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563479",
            "telephone_number": "760-716-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 SHETLAND CT",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920575720",
            "telephone_number": "760-940-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "ROBERT",
        "middle_name": "TYREE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 215679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selina Martinez, RD
• Veronica Varela Martinez, RRW
• Zachary Martinez
• Andreas Marwick, PHD
• Valerie Mason Dillard, MS, CCC-SLP
• Cassidy Anne Massengill Smith, SUDCC 1
• Maurice A Massoud, RPH
• Jaron Michael Mastroianni
• Madalina Masyuk, RPH
• Andeanna Mata

• Licensed Vocational Nurse in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.