Individual provider Active NPI

Pornpit Nit Paluch, LVN

  • Licensed Vocational Nurse
  • Lodi, CA
National Provider Identifier
1619260437
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN 227090 Issued in CA
Practice address
445 Almond Dr
Unit 18
Lodi, CA 95240-6336
Phone
(209) 369-0541
Fax
(209) 369-0541
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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 VN 227090 CA Primary

Addresses

Primary practice location

445 Almond Dr
Unit 18
Lodi, CA 95240-6336

Mailing address

445 Almond Dr
Unit 18
Lodi, CA 95240-6336
Phone (209) 369-0541

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
VN 227090CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1619260437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 ALMOND DR",
            "address_2": "UNIT 18",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406336",
            "telephone_number": "209-369-0541",
            "fax_number": "209-369-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ALMOND DR",
            "address_2": "UNIT 18",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406336",
            "telephone_number": "209-369-0541",
            "fax_number": "209-369-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUCH",
        "first_name": "PORNPIT",
        "middle_name": "NIT",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 227090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.