NPI Code Detail JSON Logo

1184481202 NPI number — VANESSA YVONNE CORDOVA RN

NPI Number: 1184481202
Health Care Provider/Practitioner: VANESSA YVONNE CORDOVA RN

Information about “1184481202” NPI (VANESSA YVONNE CORDOVA RN) exists in 1184481202 in HTML format HTML  |  1184481202 in plain Text format TXT  |  1184481202 in PDF (Portable Document Format) PDF  |  1184481202 in an XML format XML  formats.

NPI Number : 1184481202 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184481202",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CORDOVA",
    "FirstName": "VANESSA",
    "MiddleName": "YVONNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ORELLANA",
    "OtherFirstName": "VANESSA",
    "OtherMiddleName": "YVONNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5425 POMONA BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90022-1716",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-728-0411",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3601 W SUNFLOWER AVE STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA ANA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92704-7916",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-338-1115",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/05/2024",
    "LastUpdateDate": "03/05/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163WC0400X",
          "TaxonomyName": "Case Management Registered Nurse",
          "LicenseNumber": "RN95341708",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN95341708",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.