DAVON PHOMVONGSA NPI 1538321534

NPI Information

  • NPI: 1538321534
  • Provider Name: DAVON PHOMVONGSA
  • Classification: Licensed Vocational Nurse - 164X00000X
  • Entity Type: Individual
  • Address: 2122 CORTE PLATA ESPUELA
    ALPINE, CA
    ZIP 91901
  • Phone: (619) 659-0966

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NPI Details

Davon Phomvongsa is a licensed vocational nurse in Alpine, CA. The provider is a licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. Davon Phomvongsa NPI is 1538321534. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2122 CORTE PLATA ESPUELA
ALPINE, CA
ZIP 91901-184
Phone: (619) 659-0966

The enumeration date for this NPI number is 6/30/2008 and was last updated on 6/30/2008.

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
1164X00000XLicensed Vocational NurseVN185979CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
192543753A65053MEDICAIDCALIFORNIA

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: 11/21/2025

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