Individual provider Active NPI

Macbeth Lamug Galutira, LVN

  • Licensed Vocational Nurse
  • Montclair, CA
National Provider Identifier
1881737302
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN 82000 Issued in CA
Practice address
9388 Exeter Ave
Montclair, CA 91763-2024
Phone
(951) 205-6427
Fax
(909) 625-3367
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 VN 82000 CA Primary

Addresses

Primary practice location

9388 Exeter Ave
Montclair, CA 91763-2024

Mailing address

9388 Exeter Ave
Montclair, CA 91763-2024
Phone (951) 205-6427

Other identifiers 1

IdentifierTypeStateIssuer
2401237MedicaidCA

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
VN 82000CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881737302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9388 EXETER AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632024",
            "telephone_number": "951-205-6427",
            "fax_number": "909-625-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9388 EXETER AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632024",
            "telephone_number": "951-205-6427",
            "fax_number": "909-625-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALUTIRA",
        "first_name": "MACBETH",
        "middle_name": "LAMUG",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 82000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2401237",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.