Individual provider

Ken Alcantara, BSN, RN, LVN

Licensed Vocational Nurse Registered Nurse

Ken Alcantara, BSN, RN, LVN is a Licensed Vocational Nurse in Stockton, CA, registered under NPI 1104458280. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 8626 LOWER SACRAMENTO RD STE 41, Stockton, CA 95210. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

8626 LOWER SACRAMENTO RD STE 41, Stockton, CA 95210 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
703054 CA Licensed Vocational Nurse primary
041453102 IL Registered Nurse

Licences are recorded in 2 states: CA, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: California and Illinois. The practice address on file is in Stockton, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
703054
Specialty
Licensed Vocational Nurse
Verify with the CA board →
IL Illinois
Licence
041453102
Specialty
Registered Nurse
Verify with the IL board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Licensed Vocational Nurse covers

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 responsibilities vary among the states. NUCC Health Care Provider Taxonomy, code 164X00000X
Nursing Service Providers Licensed Vocational Nurse

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
164X00000X Licensed Vocational Nurse 703054 CA primary
163W00000X Registered Nurse 041453102 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104458280 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 6, 2020
Last updatedFeb 6, 2020
StatusActive
Sole proprietorNo
CredentialBSN, RN, LVN
Practice address 8626 LOWER SACRAMENTO RD STE 41
Stockton, CA 95210
(209) 478-2487
Fax (209) 478-1476
Mailing address 7246 REMMET AVE
Canoga Park, CA 91303
The last update on file is Feb 6, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104458280 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 4 5 8 2 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 8 5 7 2 7

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104458280?
NPI 1104458280 is the National Provider Identifier assigned to Ken Alcantara, BSN, RN, LVN in Stockton, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Licensed Vocational Nurse cover?
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…
How do I contact Ken Alcantara, BSN, RN, LVN?
The phone number on file with NPPES is (209) 478-2487, last updated Feb 6, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104458280 a valid number?
Yes. 1104458280 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.