Rudy J. Armendariz

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

268171 Issued in CA

Practice address

401 S Tustin St BLDG D
Orange, CA 92866-2550

Phone

(714) 289-3936

Fax

(714) 551-4728

NPI assigned

Oct 27, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1477217131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 BOOT STRAPS CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070014",
            "telephone_number": "951-833-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S TUSTIN ST BLDG D",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662550",
            "telephone_number": "714-289-3936",
            "fax_number": "714-551-4728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 E Gilbert St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924150001",
            "country_code": "US",
            "telephone_number": "909-332-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 E Gilbert St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924151003",
            "country_code": "US",
            "telephone_number": "909-763-4760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARMENDARIZ",
        "first_name": "RUDY",
        "middle_name": "J.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "268171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Lynn Arlt, MA
• Arman Kooshyar DDS Inc
• Nicole Armas
• Armen a. Shahbazian, MD, a Professional Corporation
• Robert Charles Armen, M.D.
• Raul Armenta Martinez
• Emily Armenta
• Michelle M Armenta
• Donna Armfield Hume, L.C.S.W.
• Justin Armond

• Licensed Vocational Nurse in Orange, CA
• Providers in Orange, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.