Provider Demographics
NPI:1194996934
Name:CARIAGA, VILMA (APRN, NP-C)
Entity type:Individual
Prefix:MS
First Name:VILMA
Middle Name:
Last Name:CARIAGA
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7953 E MONTE CARLO AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-1529
Mailing Address - Country:US
Mailing Address - Phone:262-344-2277
Mailing Address - Fax:
Practice Address - Street 1:750 N DIAMOND BAR BLVD STE 100
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-1023
Practice Address - Country:US
Practice Address - Phone:909-718-5615
Practice Address - Fax:909-860-7512
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.006934363LA2200X
CA18558363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health