Divine Infusion

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

Legal business name

DIVINE INFUSION

Practice address

801 E Mobeck St Apt 801B
West Covina, CA 91790-4700

Phone

(505) 795-1522

Fax

(626) 412-4414

NPI assigned

Mar 5, 2021

Organization subpart

No

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

Authorized official

Name

Girish Himmatlal Bhundiya, RN

Title

Founder & Ceo

Phone

(505) 795-1522

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1104411628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E MOBECK ST APT 801B",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904700",
            "telephone_number": "505-795-1522",
            "fax_number": "626-412-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E MOBECK ST APT 801B",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904700",
            "telephone_number": "505-795-1522",
            "fax_number": "626-412-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "BHUNDIYA",
        "authorized_official_first_name": "GIRISH",
        "authorized_official_middle_name": "HIMMATLAL",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "505-795-1522",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaonan Ding, M.D.
• Peyton Ding, PT, DPT
• Mai Dinh
• Joy Santillana Diores, NP
• Stephanie Grace Distelrath, SLPA
• La Shaunm Denise Dixon
• Alexis Mae Dizon, FNP-C
• Marie Beverly Dizon, D.D.S., M.S.
• Dmitry Tubis D.D.S., Inc.
• Jonathan DO, D.D.S.

• Infusion Therapy Registered Nurse in West Covina, CA
• Providers in West Covina, CA by specialty
• Infusion Therapy Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.