Individual provider Active NPI

Jacqueline M Tomas

  • Licensed Vocational Nurse
  • Woodland Hills, CA
National Provider Identifier
1548542541
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN261167 Issued in CA
Practice address
4900 Serrania Ave
Woodland Hills, CA 91364-3301
Phone
(818) 347-1577
Fax
(818) 347-0184
NPI assigned
Sep 15, 2011
Last updated
Sep 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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 VN261167 CA Primary

Addresses

Primary practice location

4900 Serrania Ave
Woodland Hills, CA 91364-3301

Mailing address

4900 Serrania Ave
Woodland Hills, CA 91364-3301
Phone (818) 347-1577

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
VN261167CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1548542541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SERRANIA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643301",
            "telephone_number": "818-347-1577",
            "fax_number": "818-347-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SERRANIA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643301",
            "telephone_number": "818-347-1577",
            "fax_number": "818-347-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMAS",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN261167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.