Individual provider Active NPI

Oliva Torrestorija-Santillan

  • Licensed Vocational Nurse
  • San Jose, CA
National Provider Identifier
1669918264
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
218261 Issued in CA
Practice address
2080 Southwest Expy
77
San Jose, CA 95126-4672
Phone
(619) 948-4696
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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 218261 CA Primary

Addresses

Primary practice location

2080 Southwest Expy
77
San Jose, CA 95126-4672

Mailing address

2080 Southwest Expy Apt 77
San Jose, CA 95126-4672
Phone (619) 948-4696

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
218261CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1669918264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 SOUTHWEST EXPY APT 77",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951264672",
            "telephone_number": "619-948-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 SOUTHWEST EXPY",
            "address_2": "77",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951264672",
            "telephone_number": "619-948-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRESTORIJA-SANTILLAN",
        "first_name": "OLIVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "218261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.