MAYBEL DEGUZMAN DUMLAO
Complete NPI Record 1154957769
Nurse Practitioner - Family in Los Angeles, CA
Active since March 14, 2020PECOS EnrolledAccepts Medicare Assignment
Complete NPI Dataset
This page contains the complete raw NPPES record for Maybel Deguzman Dumlao (NPI 1154957769), an individual nurse practitioner provider in Los Angeles, CA. All 26 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1154957769 Field 1/26
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/26
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: DUMLAO Field 3/26
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: MAYBEL Field 4/26
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: DEGUZMAN Field 5/26
- The middle name of the provider, if the provider is an individual.
- Provider First Line Business Mailing Address: 4371 STEWART AVE Field 6/26
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: LOS ANGELES Field 7/26
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 8/26
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 900666133 Field 9/26
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 10/26
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 6463856344 Field 11/26
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 4371 STEWART AVE Field 12/26
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: LOS ANGELES Field 13/26
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 14/26
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 900666133 Field 15/26
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/26
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 6463856344 Field 17/26
- The telephone number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 20/26
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 363LF0000X Field 21/26
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 95011750 Field 22/26
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: CA Field 23/26
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 24/26
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: Y Field 25/26
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 31
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
24012 Calle De La Plata Ste 230
Location 1/31Laguna Hills, CA 92653-7623 · Phone (888) 777-1945
23456 Hawthorne Blvd Ste 140
Location 2/31Torrance, CA 90505-4716 · Phone (888) 777-1945
440 N Mountain Ave Ste 103
Location 3/31Upland, CA 91786-5183 · Phone (888) 777-1945
79440 Corporate Center Dr Ste 101
Location 4/31LA Quinta, CA 92253-7243 · Phone (888) 777-1945
4520 Executive Dr Ste 227
Location 5/31San Diego, CA 92121-3020 · Phone (888) 777-1945
2121 Wilshire Blvd Ste 303
Location 6/31Santa Monica, CA 90403-5743 · Phone (888) 777-1945
27555 Ynez Rd Ste 370
Location 7/31Temecula, CA 92591-4678 · Phone (888) 777-1945
333 University Ave Ste 140
Location 8/31Sacramento, CA 95825-6535 · Phone (888) 777-1945
8881 Fletcher Pkwy Ste 385
Location 9/31LA Mesa, CA 91942-6106 · Phone (888) 777-1945
1981 N Broadway Ste 190
Location 10/31Walnut Creek, CA 94596-3671 · Phone (888) 777-1945
24355 Lyons Ave Ste 211
Location 11/31Santa Clarita, CA 91321-2382 · Phone (888) 777-1945
3300 Webster St Ste 900
Location 12/31Oakland, CA 94609-3156 · Phone (888) 777-1945
1400 Reynolds Ave # 201202
Location 13/31Irvine, CA 92614-5559 · Phone (888) 777-1945
9033 Wilshire Blvd Ste 401
Location 14/31Beverly Hills, CA 90211-1847 · Phone (888) 777-1945
11160 Warner Ave Ste 421
Location 15/31Fountain Valley, CA 92708-4056 · Phone (888) 777-1945
7301 Medical Ctr Ste 300
Location 16/31West Hills, CA 91307-1973 · Phone (888) 777-1945
50 Alessandro Pl Ste 130
Location 17/31Pasadena, CA 91105-4009 · Phone (888) 777-1945
11306 Mountain View Ave Ste B
Location 18/31Loma Linda, CA 92354-3832 · Phone (888) 777-1945
117 E 8th St # 100
Location 19/31Long Beach, CA 90813-4397 · Phone (888) 777-1945
5700 Ralston St Ste 110
Location 20/31Ventura, CA 93003-7889 · Phone (888) 777-1945
2701 W Alameda Ave Ste 507
Location 21/31Burbank, CA 91505-4410 · Phone (888) 777-1945
18145 US Highway 18 Ste C
Location 22/31Apple Valley, CA 92307-2210 · Phone (888) 777-1945
1125 E Spruce Ave Ste 201
Location 23/31Fresno, CA 93720-3390 · Phone (888) 777-1945
5620 Wilbur Ave Ste 310
Location 24/31Tarzana, CA 91356-1371 · Phone (888) 777-1945
6485 Day St Ste 302
Location 25/31Riverside, CA 92507-0926 · Phone (888) 777-1945
1104 Buchanan Rd Ste B5
Location 26/31Antioch, CA 94509-4233 · Phone (888) 777-1945
625 Citracado Pkwy Ste 204
Location 27/31Escondido, CA 92025-6428 · Phone (888) 777-1945
8339 Brimhall Rd Ste 1301
Location 28/31Bakersfield, CA 93312-4088 · Phone (888) 777-1945
77 Rolling Oaks Dr Ste 201
Location 29/31Thousand Oaks, CA 91361-1018 · Phone (888) 777-1945
501 N Central Ave
Location 30/31Glendale, CA 91203-1901 · Phone (888) 777-1945
2720 N Harbor Blvd Ste 200
Location 31/31Fullerton, CA 92835-2626 · Phone (888) 777-1945
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