Active NPI
Guadalupe Preciado
- Licensed Vocational Nurse
- Lynwood, CA
National Provider Identifier
1447506753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN161104
- Practice address
- 3591 E Imperial Hwy
Lynwood, CA 90262-2654 - Phone
- (310) 638-9025
- Fax
- (310) 638-9080
- NPI assigned
- Jul 24, 2012
- 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 | VN161104 | CA | Primary |
Addresses
Primary practice location
3591 E Imperial Hwy
Lynwood, CA 90262-2654
Mailing address
1910 W Sunset Blvd
650
Los Angeles, CA 90026-3275
Phone (213) 484-1186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VN161104 | Other | CA | LVN |
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 |
|---|---|---|---|
| VN161104 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1447506753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 W SUNSET BLVD",
"address_2": "650",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900263275",
"telephone_number": "213-484-1186",
"fax_number": "213-484-6165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3591 E IMPERIAL HWY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622654",
"telephone_number": "310-638-9025",
"fax_number": "310-638-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRECIADO",
"first_name": "GUADALUPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN161104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LVN",
"identifier": "VN161104",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
- Alexa Ponce
- Anandalakshmi Ponnaluri
- Vladimir Alexander Portillo
- Candita Potts, NURSE PRACTITIONER
- Shahin Pourrabbani, M.D.
- Premiercare 1 Congregate Living, Inc.
- Prime Healthcare Services - St Francis LLC
- Prime Healthcare Services - St Francis LLC
- Prime Healthcare Services - St Francis LLC
- Prime Healthcare Services - St Francis LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.