Zinata Dienge Dwumfour, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95023326 Issued in CA

Practice address

308 N la Cadena Dr
Colton, CA 92324-2946

Phone

(909) 321-4700

Fax

(909) 824-2887

NPI assigned

Nov 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Zinata Dienge Sango Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Unicare Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1639066491
  Medicare reassignment NPD
• Unicare Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1720571789
  NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1497464507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N LA CADENA DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242946",
            "telephone_number": "909-321-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N LA CADENA DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242946",
            "telephone_number": "909-321-4700",
            "fax_number": "909-824-2887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "437 N Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917623456",
            "country_code": "US",
            "telephone_number": "909-988-2555",
            "fax_number": "909-460-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850063742",
            "country_code": "US",
            "telephone_number": "701-885-9268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35420 W San Alvarez Ave",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851383702",
            "country_code": "US",
            "telephone_number": "701-885-9268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWUMFOUR",
        "first_name": "ZINATA",
        "middle_name": "DIENGE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZINATA",
            "last_name": "SANGO",
            "middle_name": "DIENGE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mhelina Duran, LPT
• Sandra Duran
• Sally Duron
• Solomon Duruji, RN
• Susan Elizabeth Duynstee
• Grace Dzimiri
• E Albert Guarin Balbas MD PC
• Kristina Easterbrook, MS, CCC-SLP
• Howard Eastin
• Emily Ann Ebert, M.D., M.P.H.

• Psychiatric/Mental Health Nurse Practitioner in Colton, CA
• Providers in Colton, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.