Active NPI
Larissa Isabel Pineda, LVN
- Licensed Vocational Nurse
- Hollywood, CA
National Provider Identifier
1346989217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 695686
- Practice address
- 6368 Hollywood Blvd
Hollywood, CA 90028-6320 - Phone
- (818) 522-7281
- NPI assigned
- May 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 695686 | CA | Primary |
Addresses
Primary practice location
6368 Hollywood Blvd
Hollywood, CA 90028-6320
Mailing address
22030 Bassett St
Canoga Park, CA 91303-2303
Phone (818) 522-7281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 695686 | Other | CA | BOARD OF VOCATIONAL NURSING AND PSYCHIATRIC TECHNICIANS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 695686 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1346989217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22030 BASSETT ST",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913032303",
"telephone_number": "818-522-7281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6368 HOLLYWOOD BLVD",
"city": "HOLLYWOOD",
"state": "CA",
"postal_code": "900286320",
"telephone_number": "818-522-7281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA",
"first_name": "LARISSA",
"middle_name": "ISABEL",
"name_prefix": "Miss",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "695686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF VOCATIONAL NURSING AND PSYCHIATRIC TECHNICIANS",
"identifier": "695686",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.