Active NPI
Luna Vargas-Hernandez
- Licensed Vocational Nurse
- Berkeley, CA
National Provider Identifier
1972965093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 270511
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 270511 | CA | MD | Licensed 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.