Individual provider Active NPI

Ava L Almanzor, L.V.N

  • Licensed Vocational Nurse
  • Oakland, CA
National Provider Identifier
1306072368
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
126637 Issued in CA
Practice address
2620 26TH Ave
Oakland, CA 94601-1907
Phone
(510) 437-2363
Fax
(510) 437-2366
NPI assigned
Jun 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 126637 CA Primary

Addresses

Primary practice location

2620 26TH Ave
Oakland, CA 94601-1907

Mailing address

4513 Guiso CMN
Fremont, CA 94536-5628
Phone (510) 894-2530

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
126637CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1306072368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 GUISO CMN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365628",
            "telephone_number": "510-894-2530",
            "fax_number": "510-437-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 26TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011907",
            "telephone_number": "510-437-2363",
            "fax_number": "510-437-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMANZOR",
        "first_name": "AVA",
        "middle_name": "L",
        "credential": "L.V.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "126637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.