Mary Isabel Juarez, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

706572 Issued in CA

Practice address

14677 Merrill Ave
Fontana, CA 92335-4219

Phone

(951) 905-3051

NPI assigned

May 29, 2023

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

• Mary Isabel Juarez Professional 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": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1316630213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14677 MERRILL AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354219",
            "telephone_number": "951-905-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14677 MERRILL AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354219",
            "telephone_number": "951-905-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "MARY",
        "middle_name": "ISABEL",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "706572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "JUAREZ",
            "middle_name": "ISABEL",
            "credential": "LVN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bharat V. Joshi, MD
• Jerry Jouglard, DDS
• JP Anesthesia Inc
• Cez Dominique Juan, PHARMD
• Dana Rae Juarez, RD
• Patricia Diana Juarez
• Jun Son Y Oo D.D.S Inc
• Jun Wu DDS Inc.
• Sandy Y Jung-Wu, MD
• Charlene H. Jung, MD

• Licensed Vocational Nurse in Fontana, CA
• Providers in Fontana, 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 29, 2023; 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.