Individual provider Active NPI

Luna Vargas-Hernandez

  • Licensed Vocational Nurse
  • Berkeley, CA
National Provider Identifier
1972965093
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
270511 Issued in CA
Practice address
1410 Bonita Ave
Berkeley, CA 94709-1909
Phone
(510) 526-4765
Fax
(510) 526-2887
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 270511 CA
Licensed Vocational Nurse 164X00000X 270511 CA Primary

Addresses

Primary practice location

1410 Bonita Ave
Berkeley, CA 94709-1909

Mailing address

527 23Rd Ave Apt 214
Oakland, CA 94606-5324
Phone (510) 691-6693

Other practice location 1

1153 Oak St
San Francisco, CA 94117-2216
Phone (415) 431-9000 ext. 1108

Other practice location 2

52 Dore St
San Francisco, CA 94103-3828
Phone (415) 861-0828 ext. 132

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

State licenses

LicenseStateTypeSpecialty
270511CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1972965093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 23RD AVE APT 214",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065324",
            "telephone_number": "510-691-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BONITA AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091909",
            "telephone_number": "510-526-4765",
            "fax_number": "510-526-2887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1153 Oak St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941172216",
            "country_code": "US",
            "telephone_number": "415-431-9000 x1108",
            "fax_number": "415-431-1813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Dore St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941033828",
            "country_code": "US",
            "telephone_number": "415-861-0828 x132",
            "fax_number": "415-861-0140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS-HERNANDEZ",
        "first_name": "LUNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "270511",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "270511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.