Vincent Kantala, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95257930 Issued in CA

Practice address

10535 Hospital Way
Mather, CA 95655-4200

Phone

(916) 366-5406

NPI assigned

Dec 2, 2021

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1760140149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 582243",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957580038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 HOSPITAL WAY",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956554200",
            "telephone_number": "916-366-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTALA",
        "first_name": "VINCENT",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95257930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Lynette Jones, RN
• Bindu K Joseph, PMHNP
• Jenna Kachmarik
• Shar Kang
• Yeon Soo Kang
• Nasir Kasim, MLS
• Marat Kazak, DPM
• Melinda Jane Keenan, PHD
• Meghan Patricia Kelly, M.S.
• Simin Kharazi, M.D.

• Registered Nurse in Mather, CA
• Providers in Mather, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.