Eddeta Jones, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

247479 Issued in CA

Practice address

11600 Eldridge Ave
Lake View Terrace, CA 91342-6506

Phone

(818) 686-3000

NPI assigned

May 20, 2010

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

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": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1891014585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 S REDONDO BLVD APT 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900163469",
            "telephone_number": "310-402-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 ELDRIDGE AVE",
            "city": "LAKE VIEW TERRACE",
            "state": "CA",
            "postal_code": "913426506",
            "telephone_number": "818-686-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "EDDETA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "247479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lusine Hunanyan
• Maggie Janessian, M.S., MFTI
• Wesley Jarasunas
• Juan Antonio Jimenez
• Nikesha M Johnson, LVN
• Robert Manuel Jones, M.M., LMFT
• Joi Jumaoas
• Elie Kapuya
• Susan Ji Hyun Kim, D.D.S.
• Rachel Onyu Kwon, LMFT

• Licensed Vocational Nurse in Lake View Terrace, CA
• Providers in Lake View Terrace, 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 20, 2010; 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.