Guillermo Beene Vicencio, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN223287 Issued in CA

Practice address

1615 French St
Santa Ana, CA 92701-2475

Phone

(714) 824-8140

Fax

(714) 824-8141

NPI assigned

Apr 20, 2007

Sex

Male

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386862068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 KENT DR",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734611",
            "telephone_number": "909-962-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 FRENCH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012475",
            "telephone_number": "714-824-8140",
            "fax_number": "714-824-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENCIO",
        "first_name": "GUILLERMO",
        "middle_name": "BEENE",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN223287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Charles Vernon
• Alyssa Verrigni
• Saba Vesal
• Kristen Vevia
• Vibrantcare Outpatient Rehabilitation of California, Inc.
• Debora Jael Vicente, APCC
• Lauren Vickerman
• Corinne Victor
• Maria Noemi Vidal, LMFT
• Nicole Vidal, N.P.

• Licensed Vocational Nurse in Santa Ana, CA
• Providers in Santa Ana, 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 Jul 8, 2007; 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.