Richard Avila, R.N.
Individual provider Active NPI Registered Nurse · Aptos, CA
NPI 1336565399 · NPPES record last updated Mar 13, 2014
Key facts
- NPI
- 1336565399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 772267 (CA)
- Practice address
- 650 Day Valley Rd
Aptos, CA 95003-9323 - Phone
- (213) 787-6195
- NPI assigned
- Mar 13, 2014
- Sex
- Male
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 772267 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 772267 | CA | Yes |
Addresses
Primary practice location
650 Day Valley Rd
Aptos, CA 95003-9323
Mailing address
PO Box 2422
Santa Cruz, CA 95063-2422
Phone (213) 787-6195
Other providers in Aptos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.