Jack Byron Cline, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

92322 Issued in CA

Practice address

427 C St Ste 212
San Diego, CA 92101-5121

Phone

(619) 238-4180

Fax

(619) 238-4245

NPI assigned

Dec 27, 2012

Last updated

Dec 27, 2012By the provider in NPPES

Sex

Male

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": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1487990198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 C ST STE 212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015121",
            "telephone_number": "619-615-0439",
            "fax_number": "619-615-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 C ST STE 212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015121",
            "telephone_number": "619-238-4180",
            "fax_number": "619-238-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "JACK",
        "middle_name": "BYRON",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "92322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Clifton
• Kimberly Ann Clifton, RNC, MSN, NNP
• Alma Villanueva Custodio Climo, MT
• Ashley Lauren Cline, LCSW
• Dawn M Cline
• Lauren Re Cline, PHARMD
• Lizelle Anne Cline, LCSW
• Patricia Cline, LCSW
• Payton Cline, DO
• Teresa A Cline

• Licensed Vocational Nurse in San Diego, CA
• Providers in San Diego, 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 Dec 27, 2012; 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.