Active NPI
Gregory Rand Dyche, RN
- Registered Nurse
- Sacramento, CA
National Provider Identifier
1912199225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 377451
- Practice address
- 7307 Perera Cir
Sacramento, CA 95831-4527 - Phone
- (916) 832-4734
- NPI assigned
- Aug 10, 2007
- Last updated
- Mar 30, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 377451 | CA | Primary |
Addresses
Primary practice location
7307 Perera Cir
Sacramento, CA 95831-4527
Mailing address
7307 Perera Cir
Sacramento, CA 95831-4527
Phone (916) 832-4734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RVN001550 | Other | CA | MEDI-CAL |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 377451 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1912199225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7307 PERERA CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958314527",
"telephone_number": "916-832-4734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7307 PERERA CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958314527",
"telephone_number": "916-832-4734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYCHE",
"first_name": "GREGORY",
"middle_name": "RAND",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-10",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "377451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "RVN001550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.