Individual provider Active NPI

Paul James Dimeglio, OTR/L, HTC

  • Occupational Therapist
  • Temecula, CA
National Provider Identifier
1013054584
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 6025 Issued in CA
Practice address
29645 Rancho California Rd
Ste. 234
Temecula, CA 92591-6200
Phone
(951) 506-3001
Fax
(951) 506-3002
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT 6025 CA
Occupational Therapist 225X00000X OT 6025 CA Primary

Addresses

Primary practice location

29645 Rancho California Rd
Ste. 234
Temecula, CA 92591-6200

Mailing address

24630 Washington Ave Ste 201
Murrieta, CA 92562-6177
Phone (951) 200-3620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000253 CA Practitioner - Occupational Therapist in Private Practice 7618887068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

Practice addresses (Care Compare)

24671 Monroe Ave
Suite 101
Murrieta, CA 92562-2527
Phone (951) 677-4105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 6025CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy and Wellness, Inc. CurrentSince Aug 19, 2019 Accepting new patients
Physical Therapy Professionals PastSince Apr 30, 2003 Accepting new patients

Locations

50225 Harrison St
Ste 103
Coachella, CA 92236
Phone (760) 698-8183

24630 Washington Ave
Ste 201
Murrieta, CA 92562
Phone (951) 200-3620

77622 Country Club Dr
Ste G
Palm Desert, CA 92211
Phone (760) 345-3087

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1013054584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 WASHINGTON AVE STE 201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626177",
            "telephone_number": "951-200-3620",
            "fax_number": "951-200-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD",
            "address_2": "STE. 234",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916200",
            "telephone_number": "951-506-3001",
            "fax_number": "951-506-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMEGLIO",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "credential": "OTR/L, HTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 6025",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 6025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.