Organization Active NPI

Vivian G Lonzanida CMP Emt LLC

  • Point of Service
  • Vallejo, CA
National Provider Identifier
1457510836
Registry record updated Jan 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
09-00006549 Issued in CA
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

Updated by the provider on Jan 12, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1586325OtherCAINTERGRATED NEUROMUSCULAR RE-EDUCATION/CROSS COUNTRY EDUCATION
7253OtherCACALIFORNIA MASSAGE THERAPY COUNCIL/ CERT. MASSAGE PRACTITIONER
4/3/07 7 ; 8/1/07OtherFAEMT.ORG/ CERT. LEVEL 1 AND 2 ENERGY MED TECH. LYMPHATIC DECOGESTIVE THERAPY

Other names 1

  • Vivian G Lonzanida CMP EMT LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.