Carlos Dizon

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

Legal business name

CARLOS DIZON

Doing business as

Emerson Nutritional Corp

Practice address

8940 Woodman Ave # D1
Arleta, CA 91331-6445

Phone

(310) 266-1408

NPI assigned

Jul 2, 2020

Last updated

Aug 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Dizon

Title

Ceo

Phone

(310) 266-1408

Specialties & licenses 3

Addresses

Other names 1

• Emerson Nutritional Corp Doing business as

Locations

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1083231344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 WOODMAN AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316445",
            "telephone_number": "310-266-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 WOODMAN AVE # D1",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316445",
            "telephone_number": "310-266-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS DIZON",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-266-1408"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerson Nutritional Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility Supplies (DME) in Arleta, CA
• Providers in Arleta, CA by specialty
• Nursing Facility Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.