Individual provider Active NPI

Moses Jacob Berrios-Heredia, LVN

  • Licensed Vocational Nurse
  • Sacramento, CA
National Provider Identifier
1932015500
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN276908 Issued in CA
Practice address
1610 Arden Way Ste 119
Sacramento, CA 95815-4027
Phone
(408) 489-7162
NPI assigned
Aug 21, 2026
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X VN276908 CA
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X VN276908 CA
Case Management Agency 251B00000X VN276908 CA
Licensed Vocational Nurse 164X00000X VN276908 CA Primary

Addresses

Primary practice location

1610 Arden Way Ste 119
Sacramento, CA 95815-4027

Mailing address

164 Lily Bay Cir
Sacramento, CA 95834-7764
Phone (408) 489-7162

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1932015500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 LILY BAY CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958347764",
            "telephone_number": "408-489-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 ARDEN WAY STE 119",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154027",
            "telephone_number": "408-489-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS-HEREDIA",
        "first_name": "MOSES",
        "middle_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "VN276908",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "VN276908",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "VN276908",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN276908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.