Active NPI
Victor Manuel Rendon
- Pharmacy Technician
- Spring Valley, CA
National Provider Identifier
1942473665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5052
- Practice address
- 1633 Gremlin Way
Spring Valley, CA 91977 - Phone
- (619) 713-6514
- Fax
- (866) 380-1013
- NPI assigned
- Apr 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5052 | CA | Primary |
Addresses
Primary practice location
1633 Gremlin Way
Spring Valley, CA 91977
Mailing address
1633 Gremlinway
Spring Valley, CA 91977
Phone (619) 713-6514
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": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1942473665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 GREMLINWAY",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "91977",
"telephone_number": "619-713-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 GREMLIN WAY",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "91977",
"telephone_number": "619-713-6514",
"fax_number": "866-380-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDON",
"first_name": "VICTOR",
"middle_name": "MANUEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-03",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "5052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.