Individual provider Active NPI

Amihan Clemente Pajarin, LVN

  • Licensed Practical Nurse
  • Bay Point, CA
National Provider Identifier
1508018466
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
VN 181144 Issued in CA
Practice address
2930 Pilar Ridge Dr
Bay Point, CA 94565-7680
Phone
(925) 709-1742
NPI assigned
Oct 22, 2008
Last updated
Oct 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X VN 181144 CA Primary

Addresses

Primary practice location

2930 Pilar Ridge Dr
Bay Point, CA 94565-7680

Mailing address

2930 Pilar Ridge Dr
Baypoint, CA 94565
Phone (925) 709-1742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VN 181144CAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1508018466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 PILAR RIDGE DR",
            "city": "BAYPOINT",
            "state": "CA",
            "postal_code": "94565",
            "telephone_number": "925-709-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 PILAR RIDGE DR",
            "city": "BAY POINT",
            "state": "CA",
            "postal_code": "945657680",
            "telephone_number": "925-709-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJARIN",
        "first_name": "AMIHAN",
        "middle_name": "CLEMENTE",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN 181144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.