Healthcare Provider Details

I. General information

NPI: 1275759029
Provider Name (Legal Business Name): DINAH PAGSOLINGAN DE JESUS R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

918 BONITA AVE # 5
MOUNTAIN VIEW CA
94040-2667
US

IV. Provider business mailing address

255 S RENGSTORFF AVE # 20
MOUNTAIN VIEW CA
94040-1773
US

V. Phone/Fax

Practice location:
  • Phone: 650-390-9371
  • Fax:
Mailing address:
  • Phone: 408-685-5631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number506899
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number506899
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: