Linda Patricia Owen, LVN

Individual provider Active NPI Licensed Vocational Nurse · Ranchita, CA

NPI 1811242878 · NPPES record last updated Jul 16, 2012

Key facts

NPI
1811242878
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
VN 230976 (CA)
Practice address
35625 Stevens Way
Ranchita, CA 92066-9731
Phone
(760) 877-1882
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
VN 230976CAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN 230976 CA Yes

Addresses

Primary practice location

35625 Stevens Way
Ranchita, CA 92066-9731

Mailing address

35625 Stevens Way
Ranchita, CA 92066-9731
Phone (760) 877-1882

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 16, 2012.

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1811242878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35625 STEVENS WAY",
            "city": "RANCHITA",
            "state": "CA",
            "postal_code": "920669731",
            "telephone_number": "760-877-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35625 STEVENS WAY",
            "city": "RANCHITA",
            "state": "CA",
            "postal_code": "920669731",
            "telephone_number": "760-877-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "LINDA",
        "middle_name": "PATRICIA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 230976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ranchita, CA

All providers in Ranchita, CA · Licensed Vocational Nurse in California

Sources for this page

Verify at the official NPI Registry.