Individual provider Active NPI

Eva Morales, LVN, CNA

  • Licensed Vocational Nurse
  • Brawley, CA
National Provider Identifier
1700541810
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
718269 Issued in CA
Practice address
320 Cattle Call Dr
Brawley, CA 92227-3108
Phone
(760) 344-5431
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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 718269 CA Primary

Addresses

Primary practice location

320 Cattle Call Dr
Brawley, CA 92227-3108

Mailing address

595 S Cesar Chavez St Apt a
Brawley, CA 92227-2671

Other practice location 1

200 S 5th St
El Centro, CA 92243-3013
Phone (760) 482-0864

Other practice location 2

535 Cesar Chavez Blvd
Calexico, CA 92231-2103
Phone (760) 357-6566

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
718269CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Treatment Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1700541810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 S CESAR CHAVEZ ST APT A",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CATTLE CALL DR",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922273108",
            "telephone_number": "760-344-5431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S 5th St",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922433013",
            "country_code": "US",
            "telephone_number": "760-482-0864",
            "fax_number": "760-482-9185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Cesar Chavez Blvd",
            "address_purpose": "LOCATION",
            "city": "Calexico",
            "state": "CA",
            "postal_code": "922312103",
            "country_code": "US",
            "telephone_number": "760-357-6566",
            "fax_number": "760-357-0864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "EVA",
        "credential": "LVN, CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "718269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.