James Donald Dibdin, M.D.

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

A39483 Issued in CA

Practice address

505 Coast Blvd South # 408
La Jolla, CA 92037-4613

Phone

(858) 459-7788

NPI assigned

May 5, 2006

Reactivated

Aug 26, 2022

Last updated

Dec 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• James D Dibdin MD Inc

  • Health Service Clinic/Center
  • La Jolla, CA
  • NPI 1841465812
  NPD Authorized official
• Ged Medical Group Inc

  • Health Service Clinic/Center
  • Los Angeles, CA
  • NPI 1518134394
  Authorized official Same address or phone
• RJP Medical Group Inc

  • Health Service Clinic/Center
  • Los Angeles, CA
  • NPI 1891953139
  Authorized official Same address or phone
• Ged Medical Group Inc

  • Health Service Clinic/Center
  • Van Nuys, CA
  • NPI 1093968414
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1043268394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD #234",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-593-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COAST BLVD SOUTH # 408",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374613",
            "telephone_number": "858-459-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2654 Honolulu Ave",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CA",
            "postal_code": "910201732",
            "country_code": "US",
            "telephone_number": "310-593-3945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBDIN",
        "first_name": "JAMES",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "deactivation_date": "2022-05-23",
        "reactivation_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A39483",
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "CA",
            "license": "A39483",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A39483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nahia Dib El Jalbout, MD
• Thomas Patrick Dickerson
• Gregory L. Dickson, PH.D.
• Benjamin Digrazia, FNP
• Christopher Dijanic, MD
• L Dinenberg, M.D.

• Forensic Pathology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Forensic Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.