Linda Vassallo, C.R.N.F.A.

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

239561 Issued in CA

Practice address

430 Marble Canyon CT
San Ramon, CA 94582-4829

Phone

(925) 735-6392

Fax

(925) 735-6392

NPI assigned

Oct 11, 2006

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

Other identifiers 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689762650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MARBLE CANYON CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824829",
            "telephone_number": "925-735-6392",
            "fax_number": "925-735-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MARBLE CANYON CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824829",
            "telephone_number": "925-735-6392",
            "fax_number": "925-735-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSALLO",
        "first_name": "LINDA",
        "credential": "C.R.N.F.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "239561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HILL PHYSICIANS",
            "identifier": "17896",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ46151Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah A. Vanderbilt-Anderson, OT
• Kylie Vang
• Ilaiana Vargas
• Brenda Vasquez
• Lisette G Vasquez
• Philip John Vassilopoulos, D.D.S., D.M.D.
• Parisa Vatanka, PHARM.D.
• Sruthi Vatsavai
• Sandra Vazquez
• Sai A Vedaraju

• Medical-Surgical Registered Nurse in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Medical-Surgical Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.