MR. JOSEPH JOHN DOVIDIO CRNP NPI 1962046110

NPI Information

NPI: 1962046110
Provider Name: MR. JOSEPH JOHN DOVIDIO, CRNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
127 S SAN VICENTE BLVD
LOS ANGELES, CA
ZIP 90048
Phone: (310) 423-3851
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MR. Joseph John Dovidio, CRNP is an acute care nurse practitioner in Los Angeles, CA with 5 years of experience. MR. Joseph John Dovidio, CRNP NPI is 1962046110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

127 S SAN VICENTE BLVD
LOS ANGELES, CA
ZIP 90048-311
Phone: (310) 423-3851
Fax: (310) 423-0246

The NPI 1962046110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2019 and was last updated on 8/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	SP020980	PENNSYLVANIA	No
2	363LC0200X	Nurse Practitioner	Critical Care Medicine	SP020980	PENNSYLVANIA	No
3	363LC0200X	Nurse Practitioner	Critical Care Medicine	26NJ01234000	NEW JERSEY	No
4	363LA2100X	Nurse Practitioner	Acute Care	95023352	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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