Active NPI
Christa Terese Pillado, LVN
- Licensed Vocational Nurse
- Simi Valley, CA
National Provider Identifier
1386879740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN 225318
- Practice address
- 1227 E Los Angeles Ave.
Simi Valley, CA 93065 - Phone
- (805) 582-4075
- Fax
- (805) 582-4804
- NPI assigned
- May 28, 2009
- 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 | VN 225318 | CA | Primary |
Addresses
Primary practice location
1227 E Los Angeles Ave.
Simi Valley, CA 93065
Mailing address
1227 E Los Angeles Avenue
Simi Valley, CA 93065
Phone (805) 582-3329
Other names 1
- Mrs. Christa Terese Gomez
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 |
|---|---|---|---|
| VN 225318 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1386879740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 E LOS ANGELES AVENUE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "93065",
"telephone_number": "805-582-3329",
"fax_number": "805-582-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 E LOS ANGELES AVE.",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "93065",
"telephone_number": "805-582-4075",
"fax_number": "805-582-4804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILLADO",
"first_name": "CHRISTA",
"middle_name": "TERESE",
"name_prefix": "Mrs.",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN 225318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTA",
"last_name": "GOMEZ",
"middle_name": "TERESE",
"prefix": "MRS.",
"credential": "LVN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.