Carol Hodges Vukovich, PA

Primary specialty

Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X

License

PA 50912 Issued in CA

Practice address

5575 Capistrano Ave
Atascadero, CA 93422-4264

Phone

(805) 792-1400

Fax

(805) 792-1485

NPI assigned

Sep 19, 2007

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1780870253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TEJAS PL",
            "address_2": "PO BOX 430",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449123",
            "telephone_number": "805-931-2556",
            "fax_number": "805-929-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 CAPISTRANO AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224264",
            "telephone_number": "805-792-1400",
            "fax_number": "805-792-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUKOVICH",
        "first_name": "CAROL",
        "middle_name": "HODGES",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "CA",
            "license": "PA 50912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Marie Viera, PA-C
• Deborah J Villa, MD
• Helen Wood Vinokurov, PSY.D
• Vip Medical Claims
• James Cogley Viramontez
• Naomi Susanne Waak, PA
• Rachel Wafford
• Sean A Waistell, P.T.
• Walgreen Co (Walgreens #07210)
• Sharon Dianne Walker, PHD

• Clinical Nurse Specialist in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.