Joanna Lizeth Ahumada, LVN

Individual provider Active NPI Licensed Vocational Nurse · Camarillo, CA

NPI 1295521789 · NPPES record last updated Apr 19, 2025

Key facts

NPI
1295521789
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
748070 (CA)
Practice address
1722 S Lewis Rd
Camarillo, CA 93012-8520
Phone
(805) 513-7287
NPI assigned
Apr 19, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
748070CAMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 748070 CA Yes

Addresses

Primary practice location

1722 S Lewis Rd
Camarillo, CA 93012-8520

Mailing address

1722 S Lewis Rd
Camarillo, CA 93012-8520
Phone (805) 513-7287

Other names

  • Miss Joanna Lizeth Ahumada Former name

Other providers in Camarillo, CA

All providers in Camarillo, CA · Licensed Vocational Nurse in California

Sources for this page

Verify at the official NPI Registry.