Individual provider Active NPI

Veronica Dellafosse, FNP

  • Family Nurse Practitioner
  • Union City, CA
National Provider Identifier
1861071730
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17882 Issued in CA
Practice address
32392 Hampton CT
Union City, CA 94587-1912
Phone
(510) 789-3678
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 606636 CA
Family Nurse Practitioner 363LF0000X 17882 CA Primary

Addresses

Primary practice location

32392 Hampton CT
Union City, CA 94587-1912

Mailing address

32392 Hampton CT
Union City, CA 94587-1912
Phone (510) 789-3678

Other identifiers 1

IdentifierTypeStateIssuer
17882OtherCAFURNISHING NUMBER

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

LicenseStateTypeSpecialty
606636CAMDPediatric Registered Nurse
17882CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1861071730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32392 HAMPTON CT",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871912",
            "telephone_number": "510-789-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32392 HAMPTON CT",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871912",
            "telephone_number": "510-789-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAFOSSE",
        "first_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "606636",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FURNISHING NUMBER",
            "identifier": "17882",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.