Healthcare Provider Details

I. General information

NPI: 1073313953
Provider Name (Legal Business Name): VANESSA PINEDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 ARNOLD DR STE 200
MARTINEZ CA
94553-4189
US

IV. Provider business mailing address

1340 ARNOLD DR STE 200
MARTINEZ CA
94553-4189
US

V. Phone/Fax

Practice location:
  • Phone: 844-844-4451
  • Fax:
Mailing address:
  • Phone: 844-844-4451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number355790
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number291496
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: