ROBERTO VARGAS-PANTOJA (NPI# 1063992006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063992006 |
| Entity Type | Individual |
| Full Name | ROBERTO VARGAS-PANTOJA |
| Practice Address |
1904 Richland Ave Bldg A Ceres CA 95307-4562 |
| Mailing Address |
827 Walnut Way Modesto CA 95351-3082 |
| Practice Telephone | 2093008800 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN696899 | CA | Nursing Service Providers |
| Street Address |
1904 RICHLAND AVE BLDG A |
| City | CERES |
| State | CA |
| Zip Code | 95307-4562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609389600 | Crystal Hewes | Case Manager/Care Coordinator | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2017-11-13 |
| 1659839132 | Cherry Parayno | Case Manager/Care Coordinator | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2019-03-04 |
| 1427512953 | Erin Ortiz | Case Manager/Care Coordinator | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2019-01-29 |
| 1679037105 | Esmeralda Rizo | Case Manager/Care Coordinator | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2019-01-29 |
| 1821552365 | Fanta Mboka | Registered Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2019-01-29 |
| 1730650102 | Barbara Loving | Registered Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-12-11 |
| 1174094742 | Simarjeet Singh Sahota | Licensed Vocational Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-12-07 |
| 1629549282 | Rowena Chung | Case Manager/Care Coordinator | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-12-07 |
| 1912487950 | Michele Methvin | Licensed Vocational Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-08-20 |
| 1124508007 | Olufunke Olukoga | Licensed Vocational Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144762022 | Roxanne Mata | Technician | 1904 Richland Ave., Ceres, CA 95307 | 2016-11-09 |
| 1023496379 | Steven Leonard II | Technician, Other | 1904 Richalnd Ave, Ceres, CA 95307 | 2015-05-07 |
| 1942619820 | Thevi Phanthalangsy | Pharmacist | 1421 Coffee Road, Modesto, CA 95307 | 2014-08-05 |
| 1588973937 | Gloria June Coats | Nurse Practitioner | 3641 Mitchell Road, Suite H, Ceres, CA 95307 | 2010-10-04 |
| 1992953236 | John H Meekay | Dentist | 1788 Mitchell Road Suite 105, Ceres, CA 95307 | 2008-08-28 |
| 1316073778 | Donna J Payne | Case Manager/Care Coordinator | 1904 Richland Avenue, Ceres, CA 95307 | 2007-02-27 |
| 1104994656 | Katherine Anne Kucera | Dentist | 3507 Morgan Rd, Ceres, CA 95307 | 2006-12-01 |
| 1073615084 | Tracy S Park | Dentist | 2760 3rd Street, Suite A, Ceres, CA 95307 | 2006-09-01 |
| 1902855588 | Kerry B Evnin Md Inc A Professional Medical Corporation | Family Medicine | 3641 Mitchell Rd, H, Ceres, CA 95307 | 2006-05-09 |
| 1376012559 | David Andrew Kirkpatrick | Technician | 1904 Richland Ave Bldg D, Ceres, CA 95307 | 2018-11-17 |
| Find all providers in zip 95307 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962051995 | Nelcy T Iniguez | Licensed Vocational Nurse | 3069 Sariya Way, Ceres, CA 95307-9202 | 2019-09-11 |
| 1043777337 | Olga Alejandre | Licensed Vocational Nurse | 3801 Evalee Ln, Ceres, CA 95307-4230 | 2019-02-22 |
| 1326504556 | Cassandra Lee Reihs | Licensed Vocational Nurse | 1120 Highlands Park Dr, Ceres, CA 95307-7249 | 2019-02-12 |
| 1497277925 | Dyana Inthavong | Licensed Vocational Nurse | 1768 Mitchell Rd Ste 301, Ceres, CA 95307-2156 | 2017-07-17 |
| 1760568059 | Jacqueline Lee Case | Licensed Vocational Nurse | 1808 Poppy Ln, Ceres, CA 95307-2227 | 2006-10-28 |
| 1174094742 | Simarjeet Singh Sahota | Licensed Vocational Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-12-07 |
| 1912487950 | Michele Methvin | Licensed Vocational Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-08-20 |
| 1124508007 | Olufunke Olukoga | Licensed Vocational Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-08-20 |
| 1669952594 | Daniel Sharma | Licensed Vocational Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-08-20 |
| 1356821995 | Guiselda Trujillo | Licensed Vocational Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-08-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.