Healthcare Provider Details

I. General information

NPI: 1952236036
Provider Name (Legal Business Name): MRS. DELIA B. DAGUMO-AMARAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10732 MARK STREET
OAKLAND CA
94605-5339
US

IV. Provider business mailing address

10732 MARK STREET
OAKLAND CA
94605-5339
US

V. Phone/Fax

Practice location:
  • Phone: 510-274-3627
  • Fax:
Mailing address:
  • Phone: 510-274-3627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number00872780
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: