Tali Dulog, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95116539 Issued in CA

Practice address

1684 Whittier Ave SPC 49
Costa Mesa, CA 92627-4454

Phone

(763) 232-0102

NPI assigned

Jul 14, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1891474037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 WHITTIER AVE SPC 49",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274454",
            "telephone_number": "763-232-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 WHITTIER AVE SPC 49",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274454",
            "telephone_number": "763-232-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULOG",
        "first_name": "TALI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95116539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Christina Duarte, AMFT
• Vanessa Duarte
• Elizabeth Olga Louise Dudziak
• Victoria Allison Duffy
• Alexis Duke
• Jordan Elyse Dunham, M.A., BCBA
• Andy Duong
• Derek Dungquang Duong, DMD
• Duc Van Duong, M.D.
• Haiyen T Duong

• Registered Nurse in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.