Active NPI
Dwight Dunagan, RPA
- Clinical Psychologist
- Laguna Niguel, CA
National Provider Identifier
1629656285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSB94024764
- Practice address
- 27611 La Paz Rd
Laguna Niguel, CA 92677-3938 - Phone
- (626) 780-1076
- NPI assigned
- Apr 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSB94024764 | CA | Primary |
Addresses
Primary practice location
27611 La Paz Rd
Laguna Niguel, CA 92677-3938
Mailing address
14 Rue de Nicole
Foothill Ranch, CA 92610-2481
Phone (626) 780-1075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94024764 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1629656285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 RUE DE NICOLE",
"city": "FOOTHILL RANCH",
"state": "CA",
"postal_code": "926102481",
"telephone_number": "626-780-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27611 LA PAZ RD",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926773938",
"telephone_number": "626-780-1076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNAGAN",
"first_name": "DWIGHT",
"credential": "RPA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-01",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB94024764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.