Active NPI
Wendy Walden
- Licensed Vocational Nurse
- Long Beach, CA
National Provider Identifier
1710130166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN 237537
- Practice address
- 2272 Pacific Ave
Long Beach, CA 90806-4312 - Phone
- (562) 427-8018
- NPI assigned
- Oct 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN 237537 | CA | Primary |
Addresses
Primary practice location
2272 Pacific Ave
Long Beach, CA 90806-4312
Mailing address
26460 Summit Cir
Santa Clarita, CA 91350-2991
Phone (661) 254-6630
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
| License | State | Type | Specialty |
|---|---|---|---|
| VN 237537 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225238400000",
"number": "1710130166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26460 SUMMIT CIR",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913502991",
"telephone_number": "661-254-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2272 PACIFIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908064312",
"telephone_number": "562-427-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDEN",
"first_name": "WENDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-29",
"last_updated": "2008-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN 237537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
- Wal-Mart Stores Inc (Wal-Mart Pharmacy 10-2949)
- Wal-Mart Stores, Inc (Wal-Mart Vision Center 30-4101)
- Wal-Mart Stores, Inc. (Vision Center 30-3477)
- Connie E Walden
- Kathleen Cirivello Walden, R.N.
- Vanessa Waler, LVN
- Jerry J. Waletzko
- Walgreen Co (Walgreens #07244)
- Walgreen Co (Walgreens #07870)
- Walgreen Co (Walgreens #05650)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.