Patrick Buenviaje

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

278140 Issued in CA

Practice address

2720 E Palmdale Blvd
#128
Palmdale, CA 93550-4930

Phone

(661) 947-3333

NPI assigned

Jul 22, 2016

Sex

Male

Sole proprietor

No

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": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1649623851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 SLAYTON ST",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515408",
            "telephone_number": "661-317-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E PALMDALE BLVD",
            "address_2": "#128",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504930",
            "telephone_number": "661-947-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENVIAJE",
        "first_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "278140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamison Thomas Bryant
• Thelma Brillantes Buado, DDS
• Timothy Francis Buckley, DDS AND MS
• Rosana Martinez Budd, RN, NP, GNP, NPNP
• Esperanza Buenaventura, D.D.S.
• Elizabeth Donald Burklo
• Jalisa Burton
• Cailyn Nichole Bush
• Elizabeth Buss
• Ricardo Bustillo

• Licensed Vocational Nurse in Palmdale, CA
• Providers in Palmdale, 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 22, 2016; 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.