Erwin Inciong Dimaculangan
Individual provider Active NPI Licensed Vocational Nurse · Dixon, CA
NPI 1063199784 · NPPES record last updated Jul 4, 2023
Key facts
- NPI
- 1063199784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 291339 (CA)
- Practice address
- 655 S Lincoln St
Dixon, CA 95620-9419 - Phone
- (650) 892-1842
- NPI assigned
- Jul 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 291339 | CA | Yes |
Addresses
Primary practice location
655 S Lincoln St
Dixon, CA 95620-9419
Mailing address
655 S Lincoln St
Dixon, CA 95620-9419
Phone (650) 892-1842
Other providers in Dixon, CA
- Dalla Dental Group Dixon Inc.
- David Keith Jolander
- Carla Antoinette Demaray
- Gagandeep Dhillon
- Liliana Diaz-Rodriguez
- Dixon Dialysis Services Inc
- Dixon Eyecare Associates an Optometric Corporation
- Dixon Family Chiropractic
- Dixon Family Services
- Dixon Montessori Charter School
All providers in Dixon, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.