Individual provider Active NPI

Milagros Dasalla

  • Registered Nurse
  • Fresno, CA
National Provider Identifier
1861610818
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
336700 Issued in CA
Practice address
1225 M St
Correctional Health, 2ND Floor
Fresno, CA 93721-1805
Phone
(555) 600-9352
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 336700 CA Primary

Addresses

Primary practice location

1225 M St
Correctional Health, 2ND Floor
Fresno, CA 93721-1805

Mailing address

PO Box 11867
Correctional Health
Fresno, CA 93775-1867

Other names 1

  • Ms. Milagros Diego Dasalla Other name

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
336700CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1861610818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11867",
            "address_2": "CORRECTIONAL HEALTH",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937751867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 M ST",
            "address_2": "CORRECTIONAL HEALTH, 2ND FLOOR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211805",
            "telephone_number": "555-600-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASALLA",
        "first_name": "MILAGROS",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "336700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILAGROS",
            "last_name": "DASALLA",
            "middle_name": "DIEGO",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.