Provider Demographics
NPI:1720875081
Name:DIONISIO, ERLINDA GARCIA
Entity type:Individual
Prefix:
First Name:ERLINDA
Middle Name:GARCIA
Last Name:DIONISIO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 NATOMA DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94519-1012
Mailing Address - Country:US
Mailing Address - Phone:650-238-8814
Mailing Address - Fax:
Practice Address - Street 1:1906 NATOMA DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94519-1012
Practice Address - Country:US
Practice Address - Phone:650-238-8814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA126120164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse