Individual provider Active NPI

Nixon Nicolas Ledina Yoro, MEDICAL LAB TECH

  • Medical Laboratory Technician
  • Winchester, CA
National Provider Identifier
1346576816
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Laboratory TechnicianTaxonomy code 246RM2200X
License
62955
Practice address
31608 Pepper Tree St
Winchester, CA 92596-8837
Phone
(951) 926-7456
NPI assigned
Oct 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Laboratory Technician 246RM2200X 62955 Primary

Addresses

Primary practice location

31608 Pepper Tree St
Winchester, CA 92596-8837

Mailing address

31608 Pepper Tree St
Winchester, CA 92596-8837
Phone (951) 926-7456

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

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1346576816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31608 PEPPER TREE ST",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968837",
            "telephone_number": "951-926-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31608 PEPPER TREE ST",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968837",
            "telephone_number": "951-926-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORO",
        "first_name": "NIXON NICOLAS",
        "middle_name": "LEDINA",
        "name_prefix": "Mr.",
        "credential": "MEDICAL LAB TECH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": "62955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.