Eliza Tinio Ortizluis, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN213834 Issued in CA

Practice address

6256 San Ramon Way
Buena Park, CA 90620-2840

Phone

(949) 698-4904

Fax

(949) 698-4904

NPI assigned

May 8, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1881953008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6256 SAN RAMON WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202840",
            "telephone_number": "949-698-4904",
            "fax_number": "949-698-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6256 SAN RAMON WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202840",
            "telephone_number": "949-698-4904",
            "fax_number": "949-698-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZLUIS",
        "first_name": "ELIZA",
        "middle_name": "TINIO",
        "name_prefix": "Miss",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN213834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "A3651966",
            "identifier": "A3651966",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Licensed Vocational Nurse in Buena Park, CA
• Providers in Buena Park, 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 May 8, 2012; 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.