Rudy Nelson Delena Dela Vega Jr., RN

Primary specialty

Hemodialysis Registered NurseTaxonomy code 163WH0500X

License

606485 Issued in CA

Practice address

333 Sunset Ave
Suite 140
Suisun City, CA 94585-2003

Phone

(916) 396-2345

NPI assigned

Aug 28, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1629445283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SUNSET AVE",
            "address_2": "SUITE 140",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852003",
            "telephone_number": "916-396-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SUNSET AVE",
            "address_2": "SUITE 140",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852003",
            "telephone_number": "916-396-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA VEGA",
        "first_name": "RUDY NELSON",
        "middle_name": "DELENA",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "606485",
            "primary": false
        },
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "CA",
            "license": "606485",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "CA",
            "license": "606485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Enrico Hoganas Dizon Jr., PHARMD

• Registered Nurse in Suisun City, CA
• Providers in Suisun City, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.