Peter Dimanno, PETER DIMANNO

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS10084 Issued in CA

Practice address

1503 N Imperial Ave
Suite 205
El Centro, CA 92243-6301

Phone

(760) 352-4773

Fax

(760) 352-4747

NPI assigned

Mar 3, 2007

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

• Mr. Peter Dimanno Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peter Dimanno LCSW Apc

  • Clinical Social Worker
  • El Centro, CA
  • NPI 1093037608
  NPD (past) Authorized official

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1124157565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 N IMPERIAL AVE",
            "address_2": "SUITE 205",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436301",
            "telephone_number": "760-352-4773",
            "fax_number": "760-352-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 N IMPERIAL AVE",
            "address_2": "SUITE 205",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436301",
            "telephone_number": "760-352-4773",
            "fax_number": "760-352-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMANNO",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PETER DIMANNO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS10084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "DIMANNO",
            "prefix": "MR.",
            "credential": "PETER DIMANNO LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Diaz
• Samantha Diaz
• Sergio Diaz
• Victor Alejandro Diaz
• Steven Charles Dilsaver, M.D.
• Scott E Dlugos, MD
• Iolani Jane Dobson, SLPA
• Angelica Dominguez
• Jacquelin Dominguez
• Paula Ingrid Dominguez

• Clinical Social Worker in El Centro, CA
• Providers in El Centro, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.