Joshua Rillo Abuyo
Individual provider Active NPI Licensed Vocational Nurse · San Diego, CA
NPI 1861239725 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1861239725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 719826 (CA)
- Practice address
- 6221 Parkside Ave
San Diego, CA 92139-3727 - Phone
- (619) 512-6149
- NPI assigned
- Jul 9, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 719826 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 719826 | CA | Yes |
Addresses
Primary practice location
6221 Parkside Ave
San Diego, CA 92139-3727
Mailing address
805 N Whittington Pkwy
Louisville, KY 40222-7101
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | joshua.abuyo@pharmerica.com |
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All providers in San Diego, 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 24, 2024. 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.