Nubia Daguia, F.N.P.
Individual provider Active NPI Family Nurse Practitioner · Oceano, CA
NPI 1336459387 · NPPES record last updated Oct 5, 2020
Key facts
- NPI
- 1336459387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP 20165 (CA)
- Practice address
- 2120 Cienaga St
Oceano, CA 93445-9016 - Phone
- (805) 994-2100
- Fax
- (805) 994-2197
- NPI assigned
- Oct 8, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeastern Rural Health Clinics
Practice addresses (Care Compare)
1850 Spring Ridge Dr
Susanville, CA 96130-6100
Phone 53025150001515
Hospital & facility affiliations
- Banner Lassen Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141010000483 | CA | Practitioner - Nurse Practitioner | 6709006968 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 20165 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Central Coast Inc | Current |
Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current |
Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Coastal Health Alliance | Current |
Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Greenville Rancheria | Past | Accepting new patients |
Locations
1057 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 270-1700
150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254
2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014
325 Posada Ln
Templeton, CA 93465
Phone (805) 239-0644
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP 20165 | CA | Yes |
Addresses
Primary practice location
2120 Cienaga St
Oceano, CA 93445-9016
Mailing address
2050 S Blosser Rd
Santa Maria, CA 93458-7310
Phone (805) 361-8030
Other providers in Oceano, CA
- Central Coast Behavior Solutions
- Community Health Centers of the Central Coast Inc
- Community Health Centers of the Central Coast Inc
- County of San Luis Obispo
- Lara B Curry
- Rebecca P Duffy
- Ethan Roy Etnyre
- Brandy Nicole Fowler
- Juliet Iannoli-Ballard
- Mia Malotte Leeper
All providers in Oceano, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.