Kathryn N Realyvasquez, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN736801 Issued in CA

Practice address

1926 Beverly Blvd
Los Angeles, CA 90057-2402

Phone

(213) 722-4217

NPI assigned

Apr 24, 2025

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": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1386431047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S SWALL DR APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483032",
            "telephone_number": "909-331-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572402",
            "telephone_number": "213-722-4217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11027 Burbank Blvd",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916012431",
            "country_code": "US",
            "telephone_number": "818-985-8323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REALYVASQUEZ",
        "first_name": "KATHRYN",
        "middle_name": "N",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN736801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Renee' Real, NP
• Jovanny Real
• Lizbeth Real
• Monica Real, LCSW
• Emily Marie Reale
• Ellyse Katrina Reanturco
• Leigh Christopher Reardon, MD
• Gale T Reaves
• Harold E Reaves, M.D.
• Guy Reavis

• Licensed Vocational Nurse in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 25, 2025; 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.