Goretti Kantumbare Macharia

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN208091 Issued in CA

Practice address

16742 Meadowview Dr
Yorba Linda, CA 92886

Phone

(714) 528-8631

NPI assigned

Sep 23, 2010

Sex

Female

Sole proprietor

Yes

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": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1912215955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16742 MEADOWVIEW DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92886",
            "telephone_number": "714-528-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16742 MEADOWVIEW DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92886",
            "telephone_number": "714-528-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHARIA",
        "first_name": "GORETTI",
        "middle_name": "KANTUMBARE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN208091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edelaine Quinto Lucas, NP
• Angsumarn Luecha, MD
• Jenny Ly, PHARMD
• Mary M Lynn
• M R S I Medical Resource Specialists, Inc.
• Alison Madden, LMFT
• Mary Denise Maldonado-Plascencia, LCSW
• Masood Parvez Malik, PHARM.D.
• Pryscilla Lyhn Gandia Mann, LCSW
• James Dean Marin, RD

• Licensed Vocational Nurse in Yorba Linda, CA
• Providers in Yorba Linda, 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 Sep 23, 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.