Active NPI
Myrna Corpuz
- Licensed Vocational Nurse
- Santa Maria, CA
National Provider Identifier
1386444206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 689758
- Practice address
- 212 Carmen LN Ste 201
Santa Maria, CA 93458-7771 - Phone
- (805) 260-9324
- Fax
- (805) 728-9492
- NPI assigned
- Mar 18, 2025
- 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 | 689758 | CA | Primary |
Addresses
Primary practice location
212 Carmen LN Ste 201
Santa Maria, CA 93458-7771
Mailing address
514 Embassy Ave
Santa Maria, CA 93458-1090
Other practice location 1
212 Carmen Ln Ste 201
Santa Maria, CA 93458-7771
Phone (805) 260-9324
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 |
|---|---|---|---|
| 689758 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1386444206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 EMBASSY AVE",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934581090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 CARMEN LN STE 201",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934587771",
"telephone_number": "805-260-9324",
"fax_number": "805-728-9492"
}
],
"practiceLocations": [
{
"address_1": "212 Carmen Ln Ste 201",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934587771",
"country_code": "US",
"telephone_number": "805-260-9324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORPUZ",
"first_name": "MYRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-18",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "689758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.