Homer Espina Dizon
Licensed Vocational Nurse in El Cajon, CA. Individual provider (NPI-1).
NPI number1043129166
StatusActive
Last updated in NPPESSep 3, 2026
Details
- NPI
- 1043129166
- Entity type
- Individual (NPI-1)
- Name
- Homer Espina Dizon
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2026
- Certification date
- Sep 3, 2026
- Last updated
- Sep 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 161564 | CA | Yes |
Practice location
1400 N Johnson Ave Ste 101El Cajon, CA 92020-1651
Phone 619-442-0277
Mailing address
1400 N Johnson Ave Ste 101El Cajon, CA 92020-1651
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 75 Licensed Vocational Nurse providers in El Cajon · All 4,057 providers in El Cajon
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