Active NPI
Vivian G Lonzanida CMP Emt LLC
- Point of Service
- Vallejo, CA
National Provider Identifier
1457510836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 09-00006549
- Legal business name
- VIVIAN G LONZANIDA CMP EMT LLC
- Doing business as
- Vivian G Lonzanida CMP EMT LLC
- Practice address
- 301 Georgia St
Suite 230
Vallejo, CA 94590-5946 - Phone
- (707) 655-0454
- Fax
- (707) 647-2604
- NPI assigned
- Jun 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Vivian Grace Lonzanida Was Aka Cruz, CMP, EMT,CMT
- Title
- LLC/Sole Prop
- Phone
- (707) 655-0454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 09-00006549 | CA | Primary |
Addresses
Primary practice location
301 Georgia St
Suite 230
Vallejo, CA 94590-5946
Mailing address
301 Georgia St
Suite 230
Vallejo, CA 94590-5946
Phone (707) 647-2604
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1586325 | Other | CA | INTERGRATED NEUROMUSCULAR RE-EDUCATION/CROSS COUNTRY EDUCATION |
| 7253 | Other | CA | CALIFORNIA MASSAGE THERAPY COUNCIL/ CERT. MASSAGE PRACTITIONER |
| 4/3/07 7 ; 8/1/07 | Other | FAEMT.ORG/ CERT. LEVEL 1 AND 2 ENERGY MED TECH. LYMPHATIC DECOGESTIVE THERAPY |
Other names 1
- Vivian G Lonzanida CMP EMT LLC
National Provider Directory
National Provider DirectoryLocations
301 Georgia St
Ste 230
Vallejo, CA 94590
Phone (707) 655-0454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357948800000",
"number": "1457510836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 GEORGIA ST",
"address_2": "SUITE 230",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945905946",
"telephone_number": "707-647-2604",
"fax_number": "707-647-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 GEORGIA ST",
"address_2": "SUITE 230",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945905946",
"telephone_number": "707-655-0454",
"fax_number": "707-647-2604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIVIAN G LONZANIDA CMP EMT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2013-01-12",
"status": "A",
"authorized_official_last_name": "LONZANIDA WAS AKA CRUZ",
"authorized_official_first_name": "VIVIAN",
"authorized_official_middle_name": "GRACE",
"authorized_official_title_or_position": "LLC/SOLE PROP",
"authorized_official_telephone_number": "707-655-0454",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CMP, EMT,CMT"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "CA",
"license": "09-00006549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERGRATED NEUROMUSCULAR RE-EDUCATION/CROSS COUNTRY EDUCATION",
"identifier": "1586325",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL/ CERT. MASSAGE PRACTITIONER",
"identifier": "7253",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAEMT.ORG/ CERT. LEVEL 1 AND 2 ENERGY MED TECH. LYMPHATIC DECOGESTIVE THERAPY",
"identifier": "4/3/07 7 ; 8/1/07",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vivian G Lonzanida CMP EMT LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.