Vanessa Dy

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95032780 Issued in CA

Practice address

160 E Holt Ave
B
Pomona, CA 91767-5406

Phone

(909) 620-2521

NPI assigned

Nov 19, 2014

Last updated

Nov 19, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1588061576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 BARTLETT AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E HOLT AVE",
            "address_2": "B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675406",
            "telephone_number": "909-620-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DY",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95032780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Duran
• Tanisha Shankar Dussik, DO
• Selena Dutton
• Dva Healthcare Renal Care Inc (Pomona Dialysis)
• Dwaraknath P. Reddy, M.D.
• Aleena Jayla Dycus
• Anastasia Demi Dzilno
• Eagle Medical Management, LLC
• Terry L Eakin, PH D
• Bridget Mary Earl, MFT

• Registered Nurse in Pomona, CA
• Providers in Pomona, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.