Edmund Perez Dumaguin, RN,BSN
Individual provider Active NPI Emergency Registered Nurse · American Canyon, CA
NPI 1659610046 · NPPES record last updated Feb 5, 2013
Key facts
- NPI
- 1659610046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- 540111 (CA)
- Practice address
- 120 Holcomb LN
American Canyon, CA 94503-1206 - Phone
- (707) 554-8251
- NPI assigned
- Feb 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 540111 | CA | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 540111 | CA | Yes |
Addresses
Primary practice location
120 Holcomb LN
American Canyon, CA 94503-1206
Mailing address
120 Holcomb LN
American Canyon, CA 94503-1206
Phone (707) 554-8251
Other providers in American Canyon, CA
- Harpreet Kaur Deol
- Darian Dickerson
- Melissa Ann Dingler
- Allison Domingo
- Sean Donohoe
- Jaybee Dumaguin
- Mariana Escobar
- Jesenia Espinoza
- Melissa Bree Everitt
- Glen Lopez Fajardo
All providers in American Canyon, CA · Emergency Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.