Active NPI
David William Nganga, LVN/RVT
- Licensed Vocational Nurse
- Eastvale, CA
National Provider Identifier
1831828607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 719074
- Practice address
- 5799 Daybreak Dr Apt a
Eastvale, CA 91752-6695 - Phone
- (323) 687-5904
- NPI assigned
- Jun 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Sonography Radiologic Technologist | 2471V0105X | 111276 | CA | |
| Licensed Vocational Nurse | 164X00000X | 719074 | CA | Primary |
Addresses
Primary practice location
5799 Daybreak Dr Apt a
Eastvale, CA 91752-6695
Mailing address
5799 Daybreak Dr Apt a
Eastvale, CA 91752-6695
Phone (323) 687-5904
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111276 | CA | MD | Mental Health Counselor |
| 719074 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1831828607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5799 DAYBREAK DR APT A",
"city": "EASTVALE",
"state": "CA",
"postal_code": "917526695",
"telephone_number": "323-687-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5799 DAYBREAK DR APT A",
"city": "EASTVALE",
"state": "CA",
"postal_code": "917526695",
"telephone_number": "323-687-5904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGANGA",
"first_name": "DAVID",
"middle_name": "WILLIAM",
"credential": "LVN/RVT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "CA",
"license": "111276",
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "719074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.