Teevale Essie Samuelu

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN241848 Issued in CA

Practice address

12440 Firestone Blvd Ste 3020
Norwalk, CA 90650-9328

Phone

(562) 864-7821

NPI assigned

May 7, 2018

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

Other names 1

• Mrs. Teevale Essie Pati Other name

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1285123083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 FASHION AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908103141",
            "telephone_number": "562-235-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 3020",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906509328",
            "telephone_number": "562-864-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELU",
        "first_name": "TEEVALE",
        "middle_name": "ESSIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN241848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEEVALE",
            "last_name": "PATI",
            "middle_name": "ESSIE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donald David Salis, M.D.
• Fermin Binungcal Salvani, DMD
• Samaritans Tran Inc
• Jeremy Samson
• Cherish Nkechi Samuel, PMHNP
• Rosangel San Elias-Gaytan
• San Lucas Medical Clinic, Inc
• Elizabeth Sanchez Garnica, MSW
• Martin Sanchez Torres
• Alicia Annette Sanchez

• Licensed Vocational Nurse in Norwalk, CA
• Providers in Norwalk, 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 May 7, 2018; 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.