Zandra Yuvozka Mardones

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

178707 Issued in CA

Practice address

7566 Greenback LN Apt 302
Citrus Heights, CA 95610-5645

Phone

(916) 796-7194

NPI assigned

Jun 7, 2018

Last updated

Jun 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1528551264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1113",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956111113",
            "telephone_number": "916-796-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7566 GREENBACK LN APT 302",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956105645",
            "telephone_number": "916-796-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDONES",
        "first_name": "ZANDRA",
        "middle_name": "YUVOZKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "178707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Rose Sumpo Manongsong, LMFT
• Manor Care of Citrus Heights Ca LLC (ProMedica Skilled Nursing and Rehabilitation (Citrus Heights))
• Lillian D. Manship, L.AC.
• Amanda Lynn Manson
• Maria Marcheschi, RN
• Andrew Christopher Markus
• Katherine Marquis
• Heavenlei Monique Marsaw
• Chris Marshall
• Angelique Elaine Martin

• Licensed Vocational Nurse in Citrus Heights, CA
• Providers in Citrus Heights, 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 Jun 7, 2018; 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.