Individual provider Active NPI

Vincent Rimando Largo

  • Pharmacist
  • Vallejo, CA
National Provider Identifier
1770098915
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
77179 Issued in CA
Practice address
975 Sereno Dr
Vallejo, CA 94589-2441
Phone
(707) 651-2072
NPI assigned
Dec 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 77179 CA Primary

Addresses

Primary practice location

975 Sereno Dr
Vallejo, CA 94589-2441

Mailing address

320 Glenview Cir
Vallejo, CA 94591-8545
Phone (707) 315-7899

Other practice location 1

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-4444

Other practice location 2

20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 537-1234

Other practice location 3

2200 River Plaza Dr
Sacramento, CA 95833-4134
Phone (916) 733-8800

Other practice location 4

1420 N Tracy Blvd
Tracy, CA 95376-3451
Phone (209) 835-1500

Other practice location 5

350 Hawthorne Ave
Oakland, CA 94609-3108
Phone (510) 655-4000

Other practice location 6

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (925) 779-7200

Other practice location 7

1411 E 31st St
Oakland, CA 94602-1018
Phone (510) 437-4223

Other practice location 8

1 Quality Dr
Vacaville, CA 95688-9494
Phone (707) 624-1360

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1770098915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 GLENVIEW CIR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918545",
            "telephone_number": "707-315-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SERENO DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892441",
            "telephone_number": "707-651-2072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Ashby Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052067",
            "country_code": "US",
            "telephone_number": "510-204-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20103 Lake Chabot Rd",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945465305",
            "country_code": "US",
            "telephone_number": "510-537-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 River Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958334134",
            "country_code": "US",
            "telephone_number": "916-733-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 N Tracy Blvd",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953763451",
            "country_code": "US",
            "telephone_number": "209-835-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Hawthorne Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093108",
            "country_code": "US",
            "telephone_number": "510-655-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Lone Tree Way",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096200",
            "country_code": "US",
            "telephone_number": "925-779-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 E 31st St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946021018",
            "country_code": "US",
            "telephone_number": "510-437-4223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Quality Dr",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956889494",
            "country_code": "US",
            "telephone_number": "707-624-1360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARGO",
        "first_name": "VINCENT",
        "middle_name": "RIMANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-11",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "77179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "975 Sereno Dr",
            "city": "Vallejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945892441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1 Quality Dr",
            "city": "Vacaville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956889494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.