MEDICARE: DISPATCH NP, A PROFESSIONAL NURSING CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1639825482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISPATCH NP, A PROFESSIONAL NURSING CORPORATION

Provider Business Mailing Address
First Line	:	9250 RESEDA BLVD STE 16
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91324-5213
Country	:	US
Telephone Number	:	818-814-9116
Fax Number	:	818-337-1459

Provider Business Practice Location Address
First Line	:	17158 PARTHENIA ST
Second Line	:
City	:	SHERWOOD FOREST
State	:	CA
Zip	:	91325-3247
Country	:	US
Telephone Number	:	818-814-9116
Fax Number	:	818-337-1459

Authorized Official
Title or Position	:	NP
Name	:	MR. ALDO DAVID ESPINOZA
Credential	:	NURSE PRACTITIONER
Telephone Number	:	818-814-9116

Provider Enumeration Date	:	03/01/2022
Last Update Date	:	03/09/2026

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