Jonathon Diulio, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

9849 Kenworthy St
El Paso, TX 79924-4402

Phone

(915) 215-5500

Fax

(915) 757-0720

NPI assigned

Apr 8, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (3 of 4)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• County of San Joaquin

  • Multi-Specialty Clinic/Center
  • Stockton, CA
  • NPI 1083955801

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• County of San Joaquin

  • Multi-Specialty Clinic/Center
  • Manteca, CA
  • NPI 1417407636

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• County of San Joaquin

  • Multi-Specialty Clinic/Center
  • Stockton, CA
  • NPI 1538400353

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• County of San Joaquin

  • Multi-Specialty Clinic/Center
  • French Camp, CA
  • NPI 1578803425

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• County of San Joaquin

  • Multi-Specialty Clinic/Center
  • French Camp, CA
  • NPI 1629319447

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• County of San Joaquin

  • Multi-Specialty Clinic/Center
  • French Camp, CA
  • NPI 1710228531

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• County of San Joaquin

  • Multi-Specialty Clinic/Center
  • Stockton, CA
  • NPI 1891036612

  Corporate Officer, Operational/Managerial Control

  CMS ownership

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.

• County of San Joaquin

  • General Acute Care Hospital
  • French Camp, CA
  • NPI 1801830583

  CA

  Medicare reassignment NPD
• San Joaquin Faculty Medical Group

  • Internal Medicine Physician
  • French Camp, CA
  • NPI 1225063761

  CA

  Medicare reassignment NPD
• County of San Joaquin

  • Multi-Specialty Clinic/Center
  • Manteca, CA
  • NPI 1417407636
  NPD

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1124447073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9849 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244402",
            "telephone_number": "915-215-5500",
            "fax_number": "915-757-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9849 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244402",
            "telephone_number": "915-215-5500",
            "fax_number": "915-757-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIULIO",
        "first_name": "JONATHON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in El Paso, TX
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.