Individual provider Active NPI

Darron Jackson Durgin, REGISTERED NURSE

  • Continuing Education/Staff Development Registered Nurse
  • Anaheim, CA
National Provider Identifier
1972964252
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X
License
571801 Issued in CA
Practice address
1727 S Latus PL
Anaheim, CA 92804-6432
Phone
(714) 935-8158
Fax
(714) 935-6020
NPI assigned
Mar 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 571801 CA
Continuing Education/Staff Development Registered Nurse 163WC1600X 571801 CA Primary

Addresses

Primary practice location

1727 S Latus PL
Anaheim, CA 92804-6432

Mailing address

1727 S Latus PL
Anaheim, CA 92804-6432
Phone (714) 935-8158

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

LicenseStateTypeSpecialty
571801CAMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1972964252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 S LATUS PL",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046432",
            "telephone_number": "714-935-8158",
            "fax_number": "714-935-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 S LATUS PL",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046432",
            "telephone_number": "714-935-8158",
            "fax_number": "714-935-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURGIN",
        "first_name": "DARRON",
        "middle_name": "JACKSON",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "571801",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "CA",
            "license": "571801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.