Dennis Neal Mendoza Dimen, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95016762 Issued in CA

Practice address

206 Pierre Dr
Manteca, CA 95337-7855

Phone

(510) 754-0965

NPI assigned

Nov 1, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dennis Dimen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1114682663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PIERRE DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377855",
            "telephone_number": "510-754-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PIERRE DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377855",
            "telephone_number": "510-754-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMEN",
        "first_name": "DENNIS NEAL",
        "middle_name": "MENDOZA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "DIMEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jasmine Diaz Joaquin
• Sofia Julie Diaz-Caporgno, RCP
• Claudia Diaz
• Genaro F Diaz, RCP
• Victoria Fara Leah Diaz
• Nam Ngoc Dinh
• Direct Dermatology Professionals PC
• Doctors Hospital of Manteca, Inc.
• Trevor M Dolling, PA
• Sandeep Dosanjh

• Family Nurse Practitioner in Manteca, CA
• Providers in Manteca, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.