Active NPI
Dalena Viega, LVN
- Licensed Vocational Nurse
- Oakland, CA
National Provider Identifier
1245620905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN705313
- Practice address
- 629 Oakland Ave
Oakland, CA 94611-4567 - Phone
- (415) 960-4542
- NPI assigned
- Feb 2, 2015
- Last updated
- Oct 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN705313 | CA | Primary |
Addresses
Primary practice location
629 Oakland Ave
Oakland, CA 94611-4567
Mailing address
3638 Hageman Ave
Oakland, CA 94619-1214
Phone (415) 960-4542
Other practice location 1
433 Turk St
San Francisco, CA 94102-3329
Phone (415) 928-7800
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
| License | State | Type | Specialty |
|---|---|---|---|
| VN705313 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Help LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Methadone Clinic
- San Francisco, CA
- NPI 1346444031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1245620905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3638 HAGEMAN AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946191214",
"telephone_number": "415-960-4542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 OAKLAND AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114567",
"telephone_number": "415-960-4542"
}
],
"practiceLocations": [
{
"address_1": "433 Turk St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941023329",
"country_code": "US",
"telephone_number": "415-928-7800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIEGA",
"first_name": "DALENA",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN705313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.