CHARO MEDROZO VITUG NPI 1720826043

NPI Information

  • NPI: 1720826043
  • Provider Name: CHARO MEDROZO VITUG
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5401 PAULARO WAY
    ANTIOCH, CA
    ZIP 94531
  • Phone: (252) 452-8199

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NPI Details

Charo Medrozo Vitug is a gerontology nurse practitioner in Antioch, CA with 6 years of experience. Charo Medrozo Vitug NPI is 1720826043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5401 PAULARO WAY
ANTIOCH, CA
ZIP 94531-026
Phone: (252) 452-8199

The NPI 1720826043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2024 and was last updated on 7/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care95020566CALIFORNIANo
2363LG0600XNurse PractitionerGerontology95020566CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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