Dora Leticia Delcid

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95030357 Issued in CA

Practice address

643 Black Hills Dr
Claremont, CA 91711-2928

Phone

(909) 771-8815

NPI assigned

Jun 4, 2024

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sequoia Family Medical Center, Inc

  • Rural Health Clinic/Center
  • Porterville, CA
  • NPI 1528016987
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1841031630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 BLACK HILLS DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112928",
            "telephone_number": "909-771-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 BLACK HILLS DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112928",
            "telephone_number": "909-771-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELCID",
        "first_name": "DORA",
        "middle_name": "LETICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Davis, RD
• Heather Lynn Davis, MD
• Lawrence Neil De Vera, SLP - 18631
• Charles Dean III, MS, ATC
• Maria Belinda Abigail Del Rosario Jimenez, OT
• Edward M Deng, PHARM.D.
• Nicole Depaola, OTR/L
• Destiny Recovery Inc
• Robyn Dettmar, PA
• William R Devery

• Family Nurse Practitioner in Claremont, CA
• Providers in Claremont, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.