Individual provider Active NPI

Maryanne Joy Tolentino Atienza, LVN

  • Licensed Vocational Nurse
  • Los Angeles, CA
National Provider Identifier
1528309895
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
250680 Issued in CA
Practice address
5300 Angeles Vista Blvd
Los Angeles, CA 90043-1648
Phone
(323) 295-4555
Fax
(323) 295-3021
NPI assigned
Mar 11, 2013
Last updated
Mar 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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 250680 CA Primary

Addresses

Primary practice location

5300 Angeles Vista Blvd
Los Angeles, CA 90043-1648

Mailing address

5300 Angeles Vista Blvd
Los Angeles, CA 90043-1648
Phone (323) 295-4555

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
250680CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1528309895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ANGELES VISTA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431648",
            "telephone_number": "323-295-4555",
            "fax_number": "323-295-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ANGELES VISTA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431648",
            "telephone_number": "323-295-4555",
            "fax_number": "323-295-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIENZA",
        "first_name": "MARYANNE JOY",
        "middle_name": "TOLENTINO",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "250680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.