Individual provider Active NPI

Marina Lagasca Dojillo, NP

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1720732787
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01220035 Issued in CA
Practice address
2735 Petaluma Ave
Long Beach, CA 90815-1612
Phone
(562) 668-8859
NPI assigned
Feb 8, 2022
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01220035 CA Primary

Addresses

Primary practice location

2735 Petaluma Ave
Long Beach, CA 90815-1612

Mailing address

2735 Petaluma Ave
Long Beach, CA 90815-1612
Phone (562) 668-8859

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL marinad319@gmail.com

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01220035CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1720732787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 PETALUMA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151612",
            "telephone_number": "562-668-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 PETALUMA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151612",
            "telephone_number": "562-668-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOJILLO",
        "first_name": "MARINA",
        "middle_name": "LAGASCA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F01220035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "marinad319@gmail.com",
            "affiliation": "N",
            "address_1": "2735 Petaluma Ave",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908151612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.