Individual provider Active NPI

Edward D. Niavez, L.V.N.

  • Licensed Vocational Nurse
  • Oceanside, CA
National Provider Identifier
1508904160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
222364 Issued in CA
Practice address
3372 Hollowtree Dr
Oceanside, CA 92054-1400
Phone
(760) 586-4741
Fax
(760) 439-6272
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 222364 CA Primary

Addresses

Primary practice location

3372 Hollowtree Dr
Oceanside, CA 92054-1400

Mailing address

3372 Hollowtree Dr
Oceanside, CA 92054-1400
Phone (760) 586-4741

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
222364CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508904160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 HOLLOWTREE DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920541400",
            "telephone_number": "760-586-4741",
            "fax_number": "760-439-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 HOLLOWTREE DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920541400",
            "telephone_number": "760-586-4741",
            "fax_number": "760-439-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIAVEZ",
        "first_name": "EDWARD",
        "middle_name": "D.",
        "credential": "L.V.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "222364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.