Individual provider Active NPI

Mireya Urrutia Rivera, L V N

  • Licensed Vocational Nurse
  • Arleta, CA
National Provider Identifier
1639481310
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
186531 Issued in CA
Practice address
9112 Remick Ave
Arleta, CA 91331-4325
Phone
(818) 504-2054
Fax
(818) 504-2054
NPI assigned
Jul 9, 2010
Last updated
Jul 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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 186531 CA Primary

Addresses

Primary practice location

9112 Remick Ave
Arleta, CA 91331-4325

Mailing address

9112 Remick Ave
Arleta, CA 91331-4325
Phone (818) 504-2054

Other names 1

  • None None Professional name

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
186531CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1639481310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9112 REMICK AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913314325",
            "telephone_number": "818-504-2054",
            "fax_number": "818-504-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9112 REMICK AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913314325",
            "telephone_number": "818-504-2054",
            "fax_number": "818-504-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MIREYA",
        "middle_name": "URRUTIA",
        "name_prefix": "Mrs.",
        "credential": "L V N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "186531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.