Lisa Dianne Dacus, MSN-Ed. APRN, RN
Nurse Practitioner in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1699537985
StatusActive
Last updated in NPPESJan 23, 2024
Details
- NPI
- 1699537985
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Dianne Dacus
- Credential
- MSN-Ed. APRN, RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2024
- Certification date
- Jan 23, 2024
- Last updated
- Jan 23, 2024
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 |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 950286687 | CA | Yes |
Practice location
9045 Candlewood StRancho Cucamonga, CA 91730-1259
Phone 949-680-6011
Mailing address
9045 Candlewood StRancho Cucamonga, CA 91730-1259
Phone 949-680-6011
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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