Active NPI
Levi G. Barahona, LVN
- Licensed Practical Nurse
- Pasadena, CA
National Provider Identifier
1629339981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 248661
- Practice address
- 1845 N Fair Oaks Ave
Andrew Escajeda Clinic G-151
Pasadena, CA 91103-1620 - Phone
- (626) 744-6140
- Fax
- (626) 744-6148
- NPI assigned
- Jun 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 Practical Nurse | 164W00000X | 248661 | CA | Primary |
Addresses
Primary practice location
1845 N Fair Oaks Ave
Andrew Escajeda Clinic G-151
Pasadena, CA 91103-1620
Mailing address
4547 Willow Brook Ave Apt 4
Los Angeles, CA 90029-2743
Phone (818) 669-7282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248661 | Other | CA | LICENSED VOCATIONAL NURSE |
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 |
|---|---|---|---|
| 248661 | CA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338768000000",
"number": "1629339981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4547 WILLOW BROOK AVE APT 4",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900292743",
"telephone_number": "818-669-7282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 N FAIR OAKS AVE",
"address_2": "ANDREW ESCAJEDA CLINIC G-151",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031620",
"telephone_number": "626-744-6140",
"fax_number": "626-744-6148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAHONA",
"first_name": "LEVI",
"middle_name": "G.",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-04",
"last_updated": "2012-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CA",
"license": "248661",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED VOCATIONAL NURSE",
"identifier": "248661",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.