RUDY NELSON DELENA DELA VEGA JR.


Address: 333 Sunset Ave, Suite 140, Suisun City, CA 94585-2003
Phone: 9163962345

RUDY NELSON DELENA DELA VEGA JR. (NPI# 1629445283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629445283
Entity Type Individual
Full Name RUDY NELSON DELENA DELA VEGA JR.
Credential RN
Practice Address 333 Sunset Ave
Suite 140
Suisun City
CA 94585-2003
Practice Telephone 9163962345
Mailing Telephone 9163962345
Enumeration Date 2015-08-28
Last Update Date 2015-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 606485 CA Nursing Service Providers
N 163WD1100X Registered Nurse
Specialization: Dialysis, Peritoneal
606485 CA Nursing Service Providers
Y 163WH0500X Registered Nurse
Specialization: Hemodialysis
606485 CA Nursing Service Providers

Office Location

Street Address 333 SUNSET AVE
SUITE 140
City SUISUN CITY
State CA
Zip Code 94585-2003

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417491945 Amber Harczak Behavioral Analyst 792 Sunset Avenue 12, Suisun City, CA 94585 2016-12-19
1427151919 Bejan A Pazdel Chiropractor 258i Sunset Ave, Suisun, CA 94585 2006-09-07
1154424190 Racquel Dela Cruz Dizon-samson Registered Nurse 229 Bridgewater Circle, Suisun City, CA 94585 2006-09-06
1346350667 Pazdel Chiropractic Inc Chiropractor 258 Sunset Ave, Ste I, Suisan, CA 94585 2006-08-30
1275682122 James Eddie Austin Counselor 159 Sunshine St, Suisun City, CA 94585-1301 2007-01-09
1710518667 Jasmine J Evans Behavioral Analyst 206 Railroad Ave Apt 1205, Suisun City, CA 94585-1304 2020-01-29
1912518879 Anna Paulina P Valdeavilla Licensed Vocational Nurse 88 Mosswood Dr, Suisun City, CA 94585-1718 2020-08-13
1215576723 Nikki Rose Lavares Behavior Technician 61 Terry Ln, Suisun City, CA 94585-1732 2019-12-31
1770713927 Lorraine Cornell Occupational Therapist 1604 Hickam Cir, Suisun City, CA 94585-1744 2009-07-22
1346865540 Yulissa Leon Technician 78 Rodondo Ave, Suisun City, CA 94585-1745 2020-06-12
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Taxonomy Information

Taxonomy Code 163WH0500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Hemodialysis

Taxonomy Definition

Definition to come...

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Competitor

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City SUISUN CITY
Zip Code 94585

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Dataset Information

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.

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