Provider Demographics
NPI:1346900040
Name:UY, NANCY DAYRIT
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:DAYRIT
Last Name:UY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:768 LUNDY WAY
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-2923
Mailing Address - Country:US
Mailing Address - Phone:650-557-1227
Mailing Address - Fax:
Practice Address - Street 1:768 LUNDY WAY
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-2923
Practice Address - Country:US
Practice Address - Phone:650-557-1227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA415600850311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA415600850OtherFACILITY LICENSE
CA415600850OtherDEPT. OF SOCIAL SERVICES LICENSE