Johnnalyn Moses De Dios

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

693786 Issued in CA

Practice address

248 Redwood Ave
Redwood City, CA 94061-3074

Phone

(650) 839-1076

NPI assigned

Jun 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1720602048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S EL CAMINO REAL STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032382",
            "telephone_number": "650-839-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 REDWOOD AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613074",
            "telephone_number": "650-839-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE DIOS",
        "first_name": "JOHNNALYN",
        "middle_name": "MOSES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "693786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torie Dawson
• Juan Andres De Alba, AMFT
• Jeanne De Alcuaz, M.S.W.,L.C.S.W.
• Jarret Richard De Amaral, DPT
• Marantha Patten De Araujo, PSYD
• Maria De Jesus
• Benjamin Edward De la Cruz
• Noel Ed Monteverde De Leon, DDS
• Robin A. Dea, MD
• Juliana Janice Debattista, RN,BSN,IBCLC,NTMC

• Licensed Vocational Nurse in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.