Individual provider Active NPI

Josephine Ang Ayson, LVN

  • Licensed Vocational Nurse
  • Santa Clara, CA
National Provider Identifier
1659797322
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
244665 Issued in CA
Practice address
711 Clyde Ave
Santa Clara, CA 95054-1902
Phone
(408) 250-2676
Fax
(408) 727-7152
NPI assigned
Mar 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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 244665 CA Primary

Addresses

Primary practice location

711 Clyde Ave
Santa Clara, CA 95054-1902

Mailing address

711 Clyde Ave
Santa Clara, CA 95054-1902
Phone (408) 250-2676

Other identifiers 1

IdentifierTypeStateIssuer
244665OtherCALVN LICENSE

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
244665CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1659797322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CLYDE AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541902",
            "telephone_number": "408-250-2676",
            "fax_number": "408-727-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 CLYDE AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541902",
            "telephone_number": "408-250-2676",
            "fax_number": "408-727-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYSON",
        "first_name": "JOSEPHINE",
        "middle_name": "ANG",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "244665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LVN LICENSE",
            "identifier": "244665",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.