Luisa Alejandra Hebbert

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

703322 Issued in CA

Practice address

22661 Cloud Meadow Dr
Nuevo, CA 92567-6128

Phone

(909) 327-1952

NPI assigned

Jun 9, 2020

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1881219558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22661 CLOUD MEADOW DR",
            "city": "NUEVO",
            "state": "CA",
            "postal_code": "925676128",
            "telephone_number": "909-327-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22661 CLOUD MEADOW DR",
            "city": "NUEVO",
            "state": "CA",
            "postal_code": "925676128",
            "telephone_number": "909-327-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBBERT",
        "first_name": "LUISA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "703322",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "703322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Magdalena Juan Matias
• John Allen Kopack

• Licensed Vocational Nurse in Nuevo, CA
• Providers in Nuevo, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.