Anitra Richardson Jenkins

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN697367 Issued in CA

Practice address

85 E. Ramona Expressway, Suite 1-3
Perris, CA 92571-3820

Phone

(619) 276-1176

NPI assigned

Mar 26, 2024

Last updated

Mar 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1366292708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 NAPLES ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103820",
            "telephone_number": "619-276-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E. RAMONA EXPRESSWAY, SUITE 1-3",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713820",
            "telephone_number": "619-276-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON JENKINS",
        "first_name": "ANITRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN697367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Reyna
• Gillian Reynolds
• Sabrina Reynoso
• Reza M Birjandi DDS a Professional Corporation
• Jaime Quezada Reza, BA
• Davielle Richardson
• Morgan Deanne Richardson
• Kenneth Ridgeway
• Tshristi Rijal
• Veronica Riley

• Licensed Vocational Nurse in Perris, CA
• Providers in Perris, 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 Mar 27, 2024; 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.