Active NPI
Eugenia Ditu, R.N.
- Psychiatric/Mental Health Registered Nurse
- Sylmar, CA
National Provider Identifier
1144393653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 541006
- Practice address
- 14445 Olive View Dr
Olive View Hospital Med. Ctr. Room # 2B 137
Sylmar, CA 91342 - Phone
- (818) 833-5646
- Fax
- (818) 362-0293
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 541006 | CA | Primary |
Addresses
Primary practice location
14445 Olive View Dr
Olive View Hospital Med. Ctr. Room # 2B 137
Sylmar, CA 91342
Mailing address
PO Box 8459
Portland, OR 97207-8459
Phone (503) 238-0769
Other practice location 1
14445 Olive View Dr
Olive View Hospital Med. Ctr. room # 2B 137
Sylmar, CA 91342-1437
Phone (818) 833-5646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 541006 | CA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1144393653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8459",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972078459",
"telephone_number": "503-238-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14445 OLIVE VIEW DR",
"address_2": "OLIVE VIEW HOSPITAL MED. CTR. ROOM # 2B 137",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91342",
"telephone_number": "818-833-5646",
"fax_number": "818-362-0293"
}
],
"practiceLocations": [
{
"address_1": "14445 Olive View Dr",
"address_2": "Olive View Hospital Med. Ctr. room # 2B 137",
"address_purpose": "LOCATION",
"city": "Sylmar",
"state": "CA",
"postal_code": "913421437",
"country_code": "US",
"telephone_number": "818-833-5646",
"fax_number": "818-362-0293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DITU",
"first_name": "EUGENIA",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "541006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.