MR. DE WAYNE D DELA GUERRA (NPI# 1457695736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457695736 |
| Entity Type | Individual |
| Full Name | MR. DE WAYNE D DELA GUERRA |
| Credential | LVN |
| Practice Address |
928 N Western Ave Apt 306 Los Angeles CA 90029-3872 |
| Mailing Address |
Po Box 74654 Los Angeles CA 90004-0654 |
| Practice Telephone | 6197939848 |
| Practice Fax Number | 3235440899 |
| Mailing Telephone | 6197939848 |
| Mailing Fax Number | 3234174865 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2020-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | LPN02498 | WA | Nursing Service Providers |
| Y | 164X00000X | Licensed Vocational Nurse | 240-636 | CA | Nursing Service Providers |
| Street Address |
928 N WESTERN AVE APT 306 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-3872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| 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 |
|---|---|---|---|---|
| 1649878166 | Crystal Shin | Licensed Vocational Nurse | 3785 Wilshire Blvd Apt 1804, Los Angeles, CA 90010-2893 | 2020-10-16 |
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1942829338 | Gabriela Contreras | Licensed Vocational Nurse | 1236 E 48th St, Los Angeles, CA 90011-4236 | 2020-04-15 |
| 1487273892 | Randolph Gentle | Licensed Vocational Nurse | 2751 W 14th St Apt B, Los Angeles, CA 90006-4315 | 2020-04-15 |
| 1033767199 | Martineata Carlisle | Licensed Vocational Nurse | 716 E 116th Pl, Los Angeles, CA 90059-2300 | 2019-08-30 |
| 1356999767 | Shemeka Germany | Licensed Vocational Nurse | 942 W 74th St, Los Angeles, CA 90044-5115 | 2019-08-28 |
| 1841846185 | Garey Faron Young | Licensed Vocational Nurse | 1573 W 48th St, Los Angeles, CA 90062-2029 | 2019-08-13 |
| 1720632888 | Tyonna Lashey Causer | Licensed Vocational Nurse | 10309 S Gramercy Pl, Los Angeles, CA 90047-4130 | 2019-07-27 |
| 1093375669 | Kathleen Anne Macapagal Alonzo | Licensed Vocational Nurse | 5088 Highland View Ave Apt 2, Los Angeles, CA 90041-2037 | 2019-06-17 |
| 1245799873 | Anisah I Seon | Licensed Vocational Nurse | 4043 Don Tomaso Dr Apt 4, Los Angeles, CA 90008-5325 | 2019-03-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90029 |
Please comment or provide details below to improve the information on MR. DE WAYNE D DELA GUERRA.
| 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.