Individual provider Active NPI

Susana Ivette Rostro, LVN

  • Licensed Vocational Nurse
  • Long Beach, CA
National Provider Identifier
1316469018
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN264156 Issued in CA
Practice address
1261 E 3Rd St
Long Beach, CA 90802-3602
Phone
(562) 233-7296
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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 VN264156 CA Primary

Addresses

Primary practice location

1261 E 3Rd St
Long Beach, CA 90802-3602

Mailing address

1261 E 3Rd St
Long Beach, CA 90802-3602
Phone (562) 233-7296

Other names 1

  • Susana Ivette Serrato Former name

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
VN264156CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1316469018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 E 3RD ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023602",
            "telephone_number": "562-233-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 E 3RD ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023602",
            "telephone_number": "562-233-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTRO",
        "first_name": "SUSANA",
        "middle_name": "IVETTE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN264156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANA",
            "last_name": "SERRATO",
            "middle_name": "IVETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.