Individual provider Active NPI

Melva Elena Renteria

  • Licensed Vocational Nurse
  • Riverside, CA
National Provider Identifier
1720590342
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN276816 Issued in CA
Practice address
9890 County Farm Rd # 3
Riverside, CA 92503-3505
Phone
(951) 966-5731
NPI assigned
Nov 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 VN276816 CA Primary

Addresses

Primary practice location

9890 County Farm Rd # 3
Riverside, CA 92503-3505

Mailing address

6836 Chadbourne Ave
Riverside, CA 92505-2010
Phone (951) 966-5731

Other practice location 1

6836 Chadbourne Ave
Riverside, CA 92505-2010
Phone (951) 966-5731

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
VN276816CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720590342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 CHADBOURNE AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052010",
            "telephone_number": "951-966-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 COUNTY FARM RD # 3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033505",
            "telephone_number": "951-966-5731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6836 Chadbourne Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925052010",
            "country_code": "US",
            "telephone_number": "951-966-5731",
            "fax_number": "951-966-5731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENTERIA",
        "first_name": "MELVA",
        "middle_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN276816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.