Individual provider Active NPI

Justin Dulay, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Diamond Bar, CA
National Provider Identifier
1235052135
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95040794 Issued in CA
Practice address
901 N del Sol LN
Diamond Bar, CA 91765-1108
Phone
(909) 573-6163
NPI assigned
Jul 30, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 95040794 CA Primary

Addresses

Primary practice location

901 N del Sol LN
Diamond Bar, CA 91765-1108

Mailing address

901 N del Sol LN
Diamond Bar, CA 91765-1108
Phone (909) 573-6163

Other practice location 1

5353 G St
Chino, CA 91710-5250
Phone (909) 590-3700 ext. 4002

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

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1235052135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N DEL SOL LN",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651108",
            "telephone_number": "909-573-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N DEL SOL LN",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651108",
            "telephone_number": "909-573-6163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5353 G St",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917105250",
            "country_code": "US",
            "telephone_number": "909-590-3700 x4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULAY",
        "first_name": "JUSTIN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95040794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.