Active NPI
Roberta Rios
- Licensed Vocational Nurse
- Fresno, CA
National Provider Identifier
1578029732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 694798
- Practice address
- 1235 E St
Fresno, CA 93706-2024 - Phone
- (559) 268-6261
- Fax
- (559) 268-7518
- NPI assigned
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 694798 | CA | Primary |
Addresses
Primary practice location
1235 E St
Fresno, CA 93706-2024
Mailing address
3423 Mulberry St
Selma, CA 93662-4104
Phone (559) 681-8264
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
| License | State | Type | Specialty |
|---|---|---|---|
| 694798 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682121600000",
"number": "1578029732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3423 MULBERRY ST",
"city": "SELMA",
"state": "CA",
"postal_code": "936624104",
"telephone_number": "559-681-8264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 E ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937062024",
"telephone_number": "559-268-6261",
"fax_number": "559-268-7518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOS",
"first_name": "ROBERTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2023-04-22",
"certification_date": "2023-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "694798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.