Individual provider Active NPI

Bonnie June Hascall, L.V.N.

  • Licensed Vocational Nurse
  • Clovis, CA
National Provider Identifier
1720118896
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
LVN91919 Issued in CA
Practice address
594 W Muncie Ave
Clovis, CA 93619-8350
Phone
(559) 325-1801
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 LVN91919 CA Primary

Addresses

Primary practice location

594 W Muncie Ave
Clovis, CA 93619-8350

Mailing address

2580 S McCall Ave
Sanger, CA 93657-9720
Phone (559) 264-7015

Other identifiers 1

IdentifierTypeStateIssuer
164X00000XMedicaidCA

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
LVN91919CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720118896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 S MCCALL AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936579720",
            "telephone_number": "559-264-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 W MUNCIE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198350",
            "telephone_number": "559-325-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASCALL",
        "first_name": "BONNIE",
        "middle_name": "JUNE",
        "credential": "L.V.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "LVN91919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164X00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.