Mocha Landucci, LVN
Individual provider Active NPI Licensed Vocational Nurse · Patterson, CA
NPI 1861633489 · NPPES record last updated Jul 21, 2014
Key facts
- NPI
- 1861633489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- VN 209102 (CA)
- Practice address
- 208 Paint Way
Patterson, CA 95363-8823 - Phone
- (510) 712-8039
- NPI assigned
- Mar 11, 2009
- 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 209102 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN 209102 | CA | Yes |
Addresses
Primary practice location
208 Paint Way
Patterson, CA 95363-8823
Mailing address
208 Paint Way
Patterson, CA 95363-8823
Phone (510) 712-8039
Other providers in Patterson, CA
- Anna Kiesser
- Kevin Kiraly
- Thomas Earl Klein
- Lacey Kohl
- Landing Square LLC
- Mark James Lawicki
- James Brian Levenson
- Bryan Lincoln
- Livingston Community Health
- Lilia Lomeli-Gil
All providers in Patterson, 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 21, 2014. 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.