Teresiah Wacera Waiyaki

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

247447 Issued in CA

Practice address

15606 Montalone PL
Bakersfield, CA 93314-8068

Phone

(909) 275-8783

NPI assigned

Jul 14, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1639787856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15606 MONTALONE PL",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933148068",
            "telephone_number": "909-275-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15606 MONTALONE PL",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933148068",
            "telephone_number": "909-275-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIYAKI",
        "first_name": "TERESIAH",
        "middle_name": "WACERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "247447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepak Wahi, MD
• Timothy Ryan Wahl, CA LCSW, TX LMSW
• Jennifer M Wai, LVN
• Marian Wai
• Katlyn Elle Wainwright, PHD
• Miranda Wakimoto
• Wal-Mart Stores, Inc. (Vision Center 30-1624)
• Wal-Mart Stores, Inc. (Vision Center 30-1574)
• Walgreen Co (Walgreens #01816)
• Walgreen Co (Walgreens #06756)

• Licensed Vocational Nurse in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.