Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dana Pettaway

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982458659

Dana Pettaway is a Student in an Organized Health Care Education/Training Program in Tehachapi, California. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

410 W J St Ste A
Tehachapi, CA 93561-1411
Phone: (661) 750-0438
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 321 Cassidy St, Oceanside, CA 92054-5314 — (760) 721-2171

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1982458659
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address321 Cassidy St, Oceanside, CA 92054-5314

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