DAVID ROBERTO AVILA RN NPI 1598916090

NPI Information

  • NPI: 1598916090
  • Provider Name: DAVID ROBERTO AVILA, RN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15675 GULFSTREAM AVE
    FONTANA, CA
    ZIP 92336
  • Phone: (562) 631-7778

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NPI Details

David Roberto Avila, RN is a psychiatric/mental health nurse practitioner in Fontana, CA with 2 years of experience. David Roberto Avila, RN NPI is 1598916090. 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:

15675 GULFSTREAM AVE
FONTANA, CA
ZIP 92336-151
Phone: (562) 631-7778

The NPI 1598916090 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 10/2/2008 and was last updated on 11/21/2024.

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
1163W00000XRegistered Nurse730858CALIFORNIANo
2164X00000XLicensed Vocational NurseVN195083CALIFORNIANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health00000CALIFORNIAYes

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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