Individual provider Active NPI

Ryan Saclolo Delos Santos, LVN

  • Licensed Vocational Nurse
  • Pasadena, CA
National Provider Identifier
1992944102
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN 213495 Issued in CA
Practice address
1020 S Arroyo Pkwy
Pasadena, CA 91105-3911
Phone
(626) 403-2794
Fax
(626) 403-4898
NPI assigned
Feb 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN 213495 CA Primary

Addresses

Primary practice location

1020 S Arroyo Pkwy
Pasadena, CA 91105-3911

Mailing address

16302 Gard Ave
Norwalk, CA 90650-6911
Phone (562) 860-3791

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
VN 213495CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1992944102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16302 GARD AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906506911",
            "telephone_number": "562-860-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S ARROYO PKWY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053911",
            "telephone_number": "626-403-2794",
            "fax_number": "626-403-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOS SANTOS",
        "first_name": "RYAN",
        "middle_name": "SACLOLO",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 213495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.