Individual provider Active NPI

Maria Brenda Garsuta

  • Licensed Vocational Nurse
  • Stockton, CA
National Provider Identifier
1841767100
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
235825 Issued in CA
Practice address
1947 N California St # B&C
Stockton, CA 95204-6029
Phone
(209) 463-0870
NPI assigned
Oct 25, 2018
Last updated
Oct 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 235825 CA Primary

Addresses

Primary practice location

1947 N California St # B&C
Stockton, CA 95204-6029

Mailing address

7246 Remmet Ave
Canoga Park, CA 91303-1531
Phone (818) 206-0360

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

State licenses

LicenseStateTypeSpecialty
235825CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1841767100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7246 REMMET AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031531",
            "telephone_number": "818-206-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 N CALIFORNIA ST # B&C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046029",
            "telephone_number": "209-463-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARSUTA",
        "first_name": "MARIA",
        "middle_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "235825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.