Healthcare Provider Details

I. General information

NPI: 1013841667
Provider Name (Legal Business Name): RONALD DAVE ORDONA DAGUIO BS, CNA, HCA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7881 CHURCH ST STE D
GILROY CA
95020-5141
US

IV. Provider business mailing address

7881 CHURCH ST STE D
GILROY CA
95020-5141
US

V. Phone/Fax

Practice location:
  • Phone: 408-665-0013
  • Fax:
Mailing address:
  • Phone: 408-665-0013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number4600936811
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: