Janice Hutalla, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

220073 Issued in CA

Practice address

2620 26TH Ave
Oakland, CA 94601-1907

Phone

(510) 437-2363

Fax

(510) 437-2366

NPI assigned

Apr 29, 2008

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

Other names 1

• Janice Gontenas Former name

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1770758716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AUSTIN AVE APT 522",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442273",
            "telephone_number": "510-695-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 26TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011907",
            "telephone_number": "510-437-2363",
            "fax_number": "510-437-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTALLA",
        "first_name": "JANICE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "220073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "GONTENAS",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaniz Husain
• Margaret M-G Husbands, PSY.D.
• Kim Huselid, MFT
• Arshad Hussain
• Smita N Hussain
• Amanda Hutchins
• Adrianna Hutchinson
• Dorothy L Hutchinson, NNP, CNS
• Pachian Alena Hutchinson, MFT
• Ricardo James Hutchinson

• Licensed Vocational Nurse in Oakland, CA
• Providers in Oakland, 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 Apr 29, 2008; 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.