Veronna Bonggat Dizon, LCSW, PMH-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26421 Issued in CA

Practice address

918 Lafayette PL
Chula Vista, CA 91913-3158

Phone

(619) 482-3804

Fax

(619) 354-7228

NPI assigned

Dec 17, 2018

Last updated

Oct 6, 2021By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1962973842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212732",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919212732",
            "telephone_number": "619-403-9772",
            "fax_number": "619-354-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 LAFAYETTE PL",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133158",
            "telephone_number": "619-482-3804",
            "fax_number": "619-354-7228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2580 Catamaran Way Ste 103",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919144533",
            "country_code": "US",
            "telephone_number": "619-403-9772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIZON",
        "first_name": "VERONNA",
        "middle_name": "BONGGAT",
        "credential": "LCSW, PMH-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaquasia Dixon-Evans
• Martha Anne Dixon, PTA
• Samantha Dixon
• Thomas Dixon, MD, PHD
• Denise Dayne Funiestas Dizon
• Amir Reza Djavid, MD
• Lilyn Djie, DDS
• Roxanne Dluzak
• Hulbert Nguyen Viet DO, M.D.
• Mimi DO

• Clinical Social Worker in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.