Vivian Sheila Dungan

Primary specialty

Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X

License

358986 Issued in CA

Practice address

32237 Agua Dulce Rd
Agua Dulce, CA 91390

Phone

(818) 371-8313

NPI assigned

Feb 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1811452030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32237 AGUA DULCE RD",
            "city": "AGUA DULCE",
            "state": "CA",
            "postal_code": "91390",
            "telephone_number": "818-371-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32237 AGUA DULCE RD",
            "city": "AGUA DULCE",
            "state": "CA",
            "postal_code": "91390",
            "telephone_number": "818-371-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNGAN",
        "first_name": "VIVIAN",
        "middle_name": "SHEILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "CA",
            "license": "358986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "358986",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "358986",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agua Dulce New Beginnings
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• Judith Mary Dalton, R.D.
• Sophie Forbes-Johnson, MS
• Curtis Lee Garrick, D.C.
• Doug Allen Gustafson, ARDMS,RVT,RDCS
• Nebo Hill Treatment Center
• Jonathan Pascual Rosales

• Clinical Nurse Specialist in Agua Dulce, CA
• Providers in Agua Dulce, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.