Individual provider Active NPI

Maria Jimena Vertolazzi Garcia

  • Licensed Vocational Nurse
  • Pacoima, CA
National Provider Identifier
1407778368
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
762223 Issued in CA
Practice address
13336 Eustace St
Pacoima, CA 91331-1831
Phone
(818) 282-0963
NPI assigned
Jul 29, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 762223 CA Primary

Addresses

Primary practice location

13336 Eustace St
Pacoima, CA 91331-1831

Mailing address

13336 Eustace St
Pacoima, CA 91331-1831
Phone (818) 282-0963

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1407778368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13336 EUSTACE ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311831",
            "telephone_number": "818-282-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13336 EUSTACE ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311831",
            "telephone_number": "818-282-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTOLAZZI GARCIA",
        "first_name": "MARIA",
        "middle_name": "JIMENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "762223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacoima, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.