Rosetta Garza-Waggoner, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN286446 Issued in CA

Practice address

80925 Ca-111
Indio, CA 92201

Phone

(760) 342-2031

NPI assigned

Apr 25, 2023

Last updated

Apr 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1487342705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83074 LAURENCE DR",
            "city": "THERMAL",
            "state": "CA",
            "postal_code": "922749094",
            "telephone_number": "760-878-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80925 CA-111",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-342-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA-WAGGONER",
        "first_name": "ROSETTA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN286446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zenaida Cortez Garcia
• Garfield Beach CVS LLC (CVS Pharmacy # 02050)
• Cheryl Ann Garfield, LMFT
• Suzanne Lucretia Garrison, LCSW
• Gary S Bernard DO Inc
• Abigail Alexandra Garza
• Kathleen Gaschk, MFTI
• Diana Gascon, MD
• Brenda Gastelum Espinoza
• Maria Elena Gastelum

• Licensed Vocational Nurse in Indio, CA
• Providers in Indio, 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 Apr 25, 2023; 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.