Active NPI
Joann Dumas, NURSE
- Licensed Vocational Nurse
- Wilmington, CA
National Provider Identifier
1902453079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN85039
- Practice address
- 1322 N Avalon Blvd
Wilmington, CA 90744-2639 - Phone
- (310) 513-1300
- NPI assigned
- Aug 22, 2019
- Last updated
- Aug 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN85039 | CA | Primary |
Addresses
Primary practice location
1322 N Avalon Blvd
Wilmington, CA 90744-2639
Mailing address
6229 Butler Ave
Long Beach, CA 90805-2238
Phone (562) 668-3782
Other practice location 1
7246 Remmet Ave
Canoga Park, CA 91303-1531
Phone (310) 513-1300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Wilmington | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| VN85039 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1902453079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6229 BUTLER AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908052238",
"telephone_number": "562-668-3782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 N AVALON BLVD",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "907442639",
"telephone_number": "310-513-1300"
}
],
"practiceLocations": [
{
"address_1": "7246 Remmet Ave",
"address_purpose": "LOCATION",
"city": "Canoga Park",
"state": "CA",
"postal_code": "913031531",
"country_code": "US",
"telephone_number": "310-513-1300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUMAS",
"first_name": "JOANN",
"credential": "NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN85039",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Wilmington",
"affiliation": "N",
"endpointDescription": "Treatment Center",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health information exchange",
"address_1": "1322 N Avalon Blvd",
"city": "Wilmington",
"state": "CA",
"country_code": "US",
"postal_code": "907442639",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.