Johan Pauline Roberto, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

701641 Issued in CA

Practice address

2307 W 6TH St
Los Angeles, CA 90057-3119

Phone

(213) 351-2800

NPI assigned

Jan 24, 2020

Sex

Female

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

Practice roles

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

• Healthright 360

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1871938118
  NPD (past)

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1750911186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9664 RUSHMORE ST",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603653",
            "telephone_number": "408-420-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573119",
            "telephone_number": "213-351-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTO",
        "first_name": "JOHAN PAULINE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "701641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Youngs Acupuncture
• Roberta Kung MD Inc
• Roberto Parra
• Roberto Parra
• Roberto Parra, D.D.S, Inc.
• Isaac Robertos
• Carmonique Roberts Harris
• Roberts Ngan Sugerman, a Medical Group, Inc.
• Olivia Roberts-Sano, MD
• Amanda Maria Roberts, M.S.

• Licensed Vocational Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.