Active NPI
Christian Vengco
- Registered Nurse
- San Mateo, CA
National Provider Identifier
1861825978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 708131
- Practice address
- 809 N Delaware St Apt 2
San Mateo, CA 94401-1584 - Phone
- (650) 291-7394
- NPI assigned
- Aug 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 708131 | CA | Primary |
Addresses
Primary practice location
809 N Delaware St Apt 2
San Mateo, CA 94401-1584
Mailing address
809 N Delaware St Apt 2
San Mateo, CA 94401-1584
Phone (650) 291-7394
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
| License | State | Type | Specialty |
|---|---|---|---|
| 708131 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1861825978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 N DELAWARE ST APT 2",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944011584",
"telephone_number": "650-291-7394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 N DELAWARE ST APT 2",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944011584",
"telephone_number": "650-291-7394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENGCO",
"first_name": "CHRISTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-12",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "708131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.