Active NPI
Vinicio Rafael Colon Jr., LVN
- Licensed Vocational Nurse
- Redding, CA
National Provider Identifier
1659621639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN262917
- Practice address
- 1670 Market St
Suite 246
Redding, CA 96001-1038 - Phone
- (530) 243-4100
- Fax
- (530) 243-4144
- NPI assigned
- Sep 17, 2012
- Last updated
- Sep 17, 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 Vocational Nurse | 164X00000X | VN262917 | CA | Primary |
Addresses
Primary practice location
1670 Market St
Suite 246
Redding, CA 96001-1038
Mailing address
682 Ridge Rd
Redding, CA 96003-2603
Phone (530) 604-6334
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 |
|---|---|---|---|
| VN262917 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1659621639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "682 RIDGE RD",
"city": "REDDING",
"state": "CA",
"postal_code": "960032603",
"telephone_number": "530-604-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 MARKET ST",
"address_2": "SUITE 246",
"city": "REDDING",
"state": "CA",
"postal_code": "960011038",
"telephone_number": "530-243-4100",
"fax_number": "530-243-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "VINICIO",
"middle_name": "RAFAEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-17",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN262917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.