Vini Edathara Vijayan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

764585 Issued in CA

Practice address

5485 Repecho Dr Apt L103
San Diego, CA 92124-1710

Phone

(602) 476-3169

NPI assigned

Jul 1, 2019

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1952963944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5485 REPECHO DR APT L103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241710",
            "telephone_number": "602-476-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5485 REPECHO DR APT L103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241710",
            "telephone_number": "602-476-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDATHARA VIJAYAN",
        "first_name": "VINI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "764585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren A Eckstein, MD
• Darlene Baclagan Ecleonel, P.T
• Eco Chateau
• Emily Suzanne Econie, PMHNP-BC
• Miriam Simbulan Edano
• David Thomas Edberg, M.D., M.A.
• Erika Eddy, MRHS
• George Eddy
• Kyrene Eddy
• Marian R. C. Edelbrock, PHD

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.