Dolores L. Fazzino, RN, a Professional Nursing Corporation

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP 11272 Issued in CA

Legal business name

DOLORES L. FAZZINO, RN, A PROFESSIONAL NURSING CORPORATION

Doing business as

Carmel Valley First Assistants

Practice address

1622 Pleasant PL
Encinitas, CA 92024-1975

Phone

(760) 579-2440

Fax

(760) 632-8802

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Dolores Linda Fazzino, DNP, RN, FNP-BCNPI 1366449563

Title

President

Phone

(760) 579-2440

Specialties & licenses 1

Addresses

Other names 1

• Carmel Valley First Assistants Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dolores Linda Fazzino, FNP

  • Family Nurse Practitioner
  • Encinitas, CA
  • NPI 1366449563
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1609009034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 PLEASANT PL",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241975",
            "telephone_number": "760-579-2440",
            "fax_number": "760-632-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 PLEASANT PL",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241975",
            "telephone_number": "760-579-2440",
            "fax_number": "760-632-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLORES L. FAZZINO, RN, A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "FAZZINO",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-579-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, RN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 11272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmel Valley First Assistants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer M. Dodds
• Joshua Dodds
• Paul Burbank Dohrenwend, M.D.
• Heidi Doland, MA, AMFT
• Elena A Dolgonos, MD
• Shannon Renee Dolphin, L.AC.
• Cathleen Domingo-Nguyen, DDS
• Ashley Domingo
• Kathleen H Dominguez, P.A.
• Ashley Dominique, PA-C

• Family Nurse Practitioner in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.