Individual provider · Type 1 NPI

Edgar M. Madera

Licensed Vocational Nurse · Anaheim, CA

NPI number 1407708993 Active

Practice location

410 N Pauline St
Anaheim, CA 92805-3058

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X746975 (CA)

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 re…

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About NPI 1407708993

Edgar M. Madera's National Provider Identifier is 1407708993, issued on Feb 10, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Anaheim, CA. The record was last updated on Feb 10, 2026.