Kerridwyn Dugan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4701 Patrick Henry Dr BLDG 25
Santa Clara, CA 95054-1863

Phone

(619) 795-9925

NPI assigned

Feb 18, 2021

Sex

Female

Sole proprietor

No

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, last updated by the provider on Feb 18, 2021.

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1659964898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 340",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 PATRICK HENRY DR BLDG 25",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541863",
            "telephone_number": "619-795-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "KERRIDWYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Tammy H Tran, OD a Professional Corporation
• Todd G. Dray, MD
• Chunlei Du
• Bryan L Dubbs, RRT
• Janvi Dudhatra
• Mark J. Dulong, MD
• Brylee Duncan, PA
• Erin Duncan, AU.D
• Illisha Kaur Dunleavy, FNP
• Anhdao Thi Duong, O.D.

• All providers in Santa Clara, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.