Active NPI
Vitalyn Valerio, RN
- Registered Nurse
- San Leandro, CA
National Provider Identifier
1902378607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 766913
- Practice address
- 1437 153Rd Ave
San Leandro, CA 94578-1917 - Phone
- (510) 693-4887
- NPI assigned
- Dec 19, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 766913 | CA | Primary |
Addresses
Primary practice location
1437 153Rd Ave
San Leandro, CA 94578-1917
Mailing address
1437 153Rd Ave
San Leandro, CA 94578-1917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1094805 | Other | CA | CA DL |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 766913 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1902378607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1437 153RD AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1437 153RD AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781917",
"telephone_number": "510-693-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALERIO",
"first_name": "VITALYN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "766913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA DL",
"identifier": "F1094805",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.