EVANGELINE FOGAM LVN
NPI 1962956763
Licensed Vocational Nurse in Santa Cruz, CA

Q: What is Evangeline Fogam's NPI number?

The NPI number for Evangeline Fogam is 1962956763. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Q: What is Evangeline Fogam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Evangeline Fogam was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since August 09, 2016

2250 SOQUEL AVE STE 100, SANTA CRUZ, CA 95062(831) 600-2800 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Evangeline Fogam Lvn NPPES

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

EVANGELINE FOGAM LVN (NPI 1962956763) is an individual licensed vocational nurse in Santa Cruz, California, licensed in California (184229) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1962956763

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameEVANGELINE FOGAMCredential: LVN

Location Address2250 SOQUEL AVE STE 100Santa Cruz, CA 95062-1402

Mailing Address2250 Soquel Ave Ste 100Santa Cruz, CA 95062-1402 · (831) 600-2800

Phone(831) 600-2800

Sole ProprietorYes

Enumeration DateAugust 9, 2016

✔ NPI 1962956763 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 · 184229

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.

2250 SOQUEL AVE STE 100, Santa Cruz, CA 95062

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA ALVAREZ

Registered Nurse (Psychiatric/Mental Health)