Angela Christine Dipietro, R.A.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

B0602150343 Issued in CA

Practice address

6265 Sepulveda Blvd Ste 10
Van Nuys, CA 91411-1127

Phone

(818) 779-0555

Fax

(818) 779-0455

NPI assigned

Sep 23, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Angela Christine Bailey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• El Dorado Community Service Center

  • Primary Care Clinic/Center
  • Newhall, CA
  • NPI 1508935230
  NPD (past)
• Tavarua Medical Rehabilitation Services

  • Primary Care Clinic/Center
  • Van Nuys, CA
  • NPI 1679832745
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1013319938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 SEPULVEDA BLVD STE 10",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111127",
            "telephone_number": "818-779-0555",
            "fax_number": "818-779-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 SEPULVEDA BLVD STE 10",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111127",
            "telephone_number": "818-779-0555",
            "fax_number": "818-779-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPIETRO",
        "first_name": "ANGELA",
        "middle_name": "CHRISTINE",
        "credential": "R.A.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "B0602150343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BAILEY",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Specialist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.