John Rastad, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

293027 Issued in CA

Practice address

2201 River Trails Cir
Rancho Cordova, CA 95670-2222

Phone

(202) 288-8222

NPI assigned

May 26, 2020

Last updated

May 26, 2020By the provider in NPPES

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1699398594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RIVER TRAILS CIR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702222",
            "telephone_number": "202-288-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RIVER TRAILS CIR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702222",
            "telephone_number": "202-288-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTAD",
        "first_name": "JOHN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "293027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rancho Residential LLC
• Adrian Joshua Rangel
• Juliana M Rangel
• Tanica Rangel, DOULA
• Kamineni S Rao, MD
• Ray of Sunlight
• Ray of Sunlight Health Psychiatric Nursing Inc
• RC Alcohol and Drug Treatment Center Inc.
• RC Dental Group
• RC Dental Practice

• Licensed Practical Nurse in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.