Individual provider Active NPI

Dominick Pangilinan Yalung

  • Adult Psychiatric/Mental Health Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1174469159
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
875163 Issued in NV
Practice address
6054 Charity St
Las Vegas, NV 89148-5510
Phone
(702) 505-1483
NPI assigned
Apr 24, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 875163 NV Primary

Addresses

Primary practice location

6054 Charity St
Las Vegas, NV 89148-5510

Mailing address

6054 Charity St
Las Vegas, NV 89148-5510
Phone (702) 505-1483

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

State licenses

LicenseStateTypeSpecialty
875163NVMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1174469159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6054 CHARITY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485510",
            "telephone_number": "702-505-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6054 CHARITY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485510",
            "telephone_number": "702-505-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALUNG",
        "first_name": "DOMINICK",
        "middle_name": "PANGILINAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NV",
            "license": "875163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.