Individual provider Active NPI

Robin Renee Didoszak, RN, IBCLC

  • Registered Nurse
  • Marina, CA
National Provider Identifier
1942341508
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
513908 Issued in CA
Practice address
3160 Ocean Ter
Marina, CA 93933-3291
Phone
(831) 869-9308
Fax
(831) 582-8270
NPI assigned
Feb 8, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 513908 CA Primary
Lactation Consultant (Registered Nurse) 163WL0100X 10622789 CA

Addresses

Primary practice location

3160 Ocean Ter
Marina, CA 93933-3291

Mailing address

3279 Cove Way
Marina, CA 93933-2231
Phone (831) 869-9308

Other identifiers 2

IdentifierTypeStateIssuer
513908OtherCAREGISTERED NURSE
10622789OtherIBCLC

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

LicenseStateTypeSpecialty
513908CAMDRegistered Nurse
10622789CAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1942341508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3279 COVE WAY",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939332231",
            "telephone_number": "831-869-9308",
            "fax_number": "831-582-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 OCEAN TER",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939333291",
            "telephone_number": "831-869-9308",
            "fax_number": "831-582-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDOSZAK",
        "first_name": "ROBIN",
        "middle_name": "RENEE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "513908",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "10622789",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "513908",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "10622789",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.