Jennifer Diaz, LVN
Individual provider Active NPI Licensed Vocational Nurse · Tehachapi, CA
NPI 1447634258 · NPPES record last updated Jul 28, 2015
Key facts
- NPI
- 1447634258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 288354 (CA)
- Practice address
- 113 E F Street
Tehachapi, CA 93561 - Phone
- (661) 822-8223
- NPI assigned
- Jul 13, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288354 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 288354 | CA | Yes |
Addresses
Primary practice location
113 E F Street
Tehachapi, CA 93561
Mailing address
29325 Kimberlina Rd.
Wasco, CA 93280
Other providers in Tehachapi, CA
- Nickole Daniel Dech
- Karyn L Delichte
- Elin Der-Hacopian
- Vinnette Ann Detloff
- Debby D Diamond
- Jacqueline Garcia Dolan
- Matthew Thomas Dolan
- Donald Lee Pearson DDS Dental Corporation
- Miguel Angel Dorador
- Michelle Nicole Doucette
All providers in Tehachapi, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.