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
| License | State | Type | Specialty |
|---|---|---|---|
| VN 230976 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.