Individual provider Active NPI

Emerita Salangsang Delara, RN

  • Registered Nurse
  • Lakewood, CA
National Provider Identifier
1366754020
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
312205 Issued in CA
Practice address
4317 Vangold Ave
Lakewood, CA 90712-3717
Phone
(562) 421-0153
Fax
(562) 421-0153
NPI assigned
Jul 10, 2010
Last updated
Jul 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 312205 CA Primary

Addresses

Primary practice location

4317 Vangold Ave
Lakewood, CA 90712-3717

Mailing address

4317 Vangold Ave
Lakewood, CA 90712-3717
Phone (562) 421-0153

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
312205CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1366754020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 VANGOLD AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123717",
            "telephone_number": "562-421-0153",
            "fax_number": "562-421-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 VANGOLD AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123717",
            "telephone_number": "562-421-0153",
            "fax_number": "562-421-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELARA",
        "first_name": "EMERITA",
        "middle_name": "SALANGSANG",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "312205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.