Lorenzo Dorado

Individual provider Active NPI Adult Psychiatric/Mental Health Registered Nurse · Sylmar, CA

NPI 1497400907 · NPPES record last updated Feb 14, 2022

Key facts

NPI
1497400907
Entity type
Individual (NPI type 1)
Primary specialty
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
License
95114295 (CA)
Practice address
14659 Olive View Dr
Sylmar, CA 91342-1652
Phone
(818) 370-3279
NPI assigned
Feb 14, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
95114295CAMDAdult Psychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 95114295 CA Yes

Addresses

Primary practice location

14659 Olive View Dr
Sylmar, CA 91342-1652

Mailing address

14659 Olive View Dr
Sylmar, CA 91342-1652
Phone (818) 370-3279

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 14, 2022.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1497400907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14659 OLIVE VIEW DR",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421652",
            "telephone_number": "818-370-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14659 OLIVE VIEW DR",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421652",
            "telephone_number": "818-370-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORADO",
        "first_name": "LORENZO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95114295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

All providers in Sylmar, CA · Adult Psychiatric/Mental Health Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.