Active NPI
Jose Adalberto Dheming, MD
- General Practice Physician
- Chino, CA
National Provider Identifier
1013018373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A55611
- Practice address
- 5385 Walnut Ave
Ste 4
Chino, CA 91710 - Phone
- (909) 902-9934
- Fax
- (909) 902-0754
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A55611 | CA | Primary |
Addresses
Primary practice location
5385 Walnut Ave
Ste 4
Chino, CA 91710
Mailing address
5385 Walnut Ave
Ste 4
Chino, CA 91710
Phone (909) 902-9934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A556110 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55611 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1013018373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5385 WALNUT AVE",
"address_2": "STE 4",
"city": "CHINO",
"state": "CA",
"postal_code": "91710",
"telephone_number": "909-902-9934",
"fax_number": "909-902-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5385 WALNUT AVE",
"address_2": "STE 4",
"city": "CHINO",
"state": "CA",
"postal_code": "91710",
"telephone_number": "909-902-9934",
"fax_number": "909-902-0754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHEMING",
"first_name": "JOSE",
"middle_name": "ADALBERTO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A55611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A556110",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.