Active NPI
Lourdes E. Verano, LAB SCIENTIST
- Medical Technologist
- Vacaville, CA
National Provider Identifier
1881754638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- MTA34684
- Practice address
- 2135 Marshall Rd
Vacaville, CA 95687-7115 - Phone
- (707) 469-0805
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | MTA34684 | CA | Primary |
Addresses
Primary practice location
2135 Marshall Rd
Vacaville, CA 95687-7115
Mailing address
2135 Marshall Rd
Vacaville, CA 95687-7115
Phone (707) 469-0805
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 |
|---|---|---|---|
| MTA34684 | CA | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881754638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 MARSHALL RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956877115",
"telephone_number": "707-469-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 MARSHALL RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956877115",
"telephone_number": "707-469-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERANO",
"first_name": "LOURDES",
"middle_name": "E.",
"credential": "LAB SCIENTIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "CA",
"license": "MTA34684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.