Individual provider Active NPI

Marcos Di Pinto, PH.D.

  • Clinical Neuropsychologist
  • Orange, CA
National Provider Identifier
1073760906
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2753 Issued in TN
Practice address
1201 W la Veta Ave
Suite 503
Orange, CA 92868-4213
Phone
(714) 516-4385
NPI assigned
Aug 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2753 TN Primary

Addresses

Primary practice location

1201 W la Veta Ave
Suite 503
Orange, CA 92868-4213

Mailing address

1201 W la Veta Ave
Suite 503
Orange, CA 92868-4213
Phone (714) 516-4385

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2753TNMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1073760906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE",
            "address_2": "SUITE 503",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684213",
            "telephone_number": "714-516-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE",
            "address_2": "SUITE 503",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684213",
            "telephone_number": "714-516-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI PINTO",
        "first_name": "MARCOS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TN",
            "license": "2753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.