Active NPI
Joanna Pedraza, LVN
- Licensed Vocational Nurse
- Garden Grove, CA
National Provider Identifier
1366027401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN273148
- Practice address
- 9931 Central Ave Apt 9
Garden Grove, CA 92844-2437 - Phone
- (714) 406-8860
- NPI assigned
- Mar 10, 2021
- 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 | VN273148 | CA | Primary |
Addresses
Primary practice location
9931 Central Ave Apt 9
Garden Grove, CA 92844-2437
Mailing address
9931 Central Ave Apt 9
Garden Grove, CA 92844-2437
Phone (714) 406-8860
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 |
|---|---|---|---|
| VN273148 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1366027401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9931 CENTRAL AVE APT 9",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928442437",
"telephone_number": "714-406-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9931 CENTRAL AVE APT 9",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928442437",
"telephone_number": "714-406-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDRAZA",
"first_name": "JOANNA",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN273148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.