Alexis A Marantos, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

227150 Issued in CA

Practice address

769 Blaine St
Suite B
Riverside, CA 92507

Phone

(951) 358-4705

Fax

(951) 358-4719

NPI assigned

Nov 8, 2007

Last updated

Dec 9, 2010By the provider in NPPES

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

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1760662605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 BLAINE ST",
            "address_2": "SUITE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073379",
            "telephone_number": "951-358-4705",
            "fax_number": "951-358-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 BLAINE ST",
            "address_2": "SUITE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-358-4705",
            "fax_number": "951-358-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANTOS",
        "first_name": "ALEXIS",
        "middle_name": "A",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "227150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Angel Manzano
• Judith Patricia Manzo
• Esmeralda Mar
• Jacqueline Mar, PSY.D.
• Ashley Hanomi Maranan, MA
• Ashley Maranville, BA
• Nelson Javier Maravilla, CRNA
• Marc R Larson DDS Ms a Dental Corporation
• Marcee Lynn Hirst
• Marcee Lynn Hirst

• Licensed Vocational Nurse in Riverside, CA
• Providers in Riverside, 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 Dec 9, 2010; 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.