Active NPI
Monica Susanne Dybalski, FNP
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1891869806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN363298, NP9439
- Practice address
- 765 W College St
Los Angeles, CA 90012-1181 - Phone
- (213) 580-7344
- Fax
- (213) 580-7307
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN363298, NP9439 | CA | Primary |
Addresses
Primary practice location
765 W College St
Los Angeles, CA 90012-1181
Mailing address
528 Santa Anita CT
Sierra Madre, CA 91024-2623
Phone (626) 355-0837
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN363298, NP9439 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891869806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 SANTA ANITA CT",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910242623",
"telephone_number": "626-355-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 W COLLEGE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900121181",
"telephone_number": "213-580-7344",
"fax_number": "213-580-7307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYBALSKI",
"first_name": "MONICA",
"middle_name": "SUSANNE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "RN363298, NP9439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.