1. Home
  2. Directory
  3. California
  4. Corona
  5. Licensed Vocational Nurse
  6. NPI Profile

TINNA BUDIANTORO LVN
NPI 1679403901
Licensed Vocational Nurse in Corona, CA

Active since May 20, 2026
1186 BORDER AVE APT C, CORONA, CA 92882(512) 981-3364 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tinna Budiantoro Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINNA BUDIANTORO LVN (NPI 1679403901) is an individual licensed vocational nurse in Corona, California, licensed in California (709622) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1679403901
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameTINNA BUDIANTOROCredential: LVN
Location Address1186 BORDER AVE APT CCorona, CA 92882-3055
Mailing Address1186 Border Ave Apt CCorona, CA 92882-3055 · (512) 981-3364
Phone(512) 981-3364
Sole ProprietorYes
Enumeration DateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1679403901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 709622
Definition
A licensed vocational nurse 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.
1186 BORDER AVE APT C, Corona, CA 92882
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tinna Budiantoro's NPI number?

The NPI number for Tinna Budiantoro is 1679403901. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Where is Tinna Budiantoro located?

Tinna Budiantoro practices at 1186 Border Ave Apt C, Corona, CA 92882. The listed phone number is (512) 981-3364.

What is Tinna Budiantoro's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Tinna Budiantoro was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.