Active NPI
Susana Rascon
- Licensed Vocational Nurse
- Glendale, CA
National Provider Identifier
1386275907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 709254
- Practice address
- 4544 San Fernando Rd Ste 202
Glendale, CA 91204-5015 - Phone
- (818) 240-8843
- NPI assigned
- Feb 2, 2020
- Last updated
- Feb 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 709254 | CA | Primary |
Addresses
Primary practice location
4544 San Fernando Rd Ste 202
Glendale, CA 91204-5015
Mailing address
4544 San Fernando Rd Ste 202
Glendale, CA 91204-5015
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 |
|---|---|---|---|
| 709254 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580601600000",
"number": "1386275907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4544 SAN FERNANDO RD STE 202",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912045015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4544 SAN FERNANDO RD STE 202",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912045015",
"telephone_number": "818-240-8843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASCON",
"first_name": "SUSANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-02",
"last_updated": "2020-02-02",
"certification_date": "2020-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "709254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
- Amandeep Kaur Randhawa, DPM
- Louise Irene Ranit, MSN, RN, PMHNP-BC
- Edward Jay Rapetti, M.D.
- Rapid Home Health Care Inc.
- Rapidcare Urgent Care Centers/So Calif Urgent Care Medical Group
- Sarineh Ratousi
- Noralie Pizarro Raudszus, MSN, APRN, FNP-C
- Raul Arturo Pardave MD a Medical Corporation
- Raul Arturo Pardave, MD, a Medical Corporation
- Ray N. Iskander, M.D. a Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.