Provider Demographics
NPI:1275759029
Name:DE JESUS, DINAH PAGSOLINGAN (RN)
Entity Type:Individual
Prefix:
First Name:DINAH
Middle Name:PAGSOLINGAN
Last Name:DE JESUS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 S RENGSTORFF AVE
Mailing Address - Street 2:# 20
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-1773
Mailing Address - Country:US
Mailing Address - Phone:408-685-5631
Mailing Address - Fax:
Practice Address - Street 1:918 BONITA AVE
Practice Address - Street 2:# 5
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2667
Practice Address - Country:US
Practice Address - Phone:650-390-9371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA506899163WC0400X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WC0400XNursing Service ProvidersRegistered NurseCase Management
Not Answered163WH0200XNursing Service ProvidersRegistered NurseHome Health