MEDICARE: RAYANA TEIXEIRA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164X00000X	Licensed Vocational Nurse	VN755403	CA

General Provider Information

NPI Number	:	1780530758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYANA TEIXEIRA

Provider Business Mailing Address
First Line	:	2125 WESTINGHOUSE ST APT 141
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-6673
Country	:	US
Telephone Number	:	781-858-5867
Fax Number	:

Provider Business Practice Location Address
First Line	:	2125 WESTINGHOUSE ST APT 141
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-6673
Country	:	US
Telephone Number	:	781-858-5867
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ RAYANA TEIXEIRA ” Practice Location

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