Jan Von Dickey, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G49405 Issued in CA

Practice address

39500 Liberty St
Fremont, CA 94538

Phone

(510) 252-5887

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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.

• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1780054379

  CA

  Medicare reassignment Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1184791998
  Care Compare group NPD
• Integrated Medical Associates of Alameda County Inc

  • Internal Medicine Physician
  • Oakland, CA
  • NPI 1427277904

  CA

  Medicare reassignment
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1942387188
  Care Compare group NPD (past)
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1033296272
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1245719129
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1497021109
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1598387680
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1659993699
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1679381107
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Gilroy, CA
  • NPI 1871115964
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1962024059
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1295181477

  Hospital

  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Berkeley, CA
  • NPI 1639523004

  Hospital

  Care Compare affiliation

Specialty

Internal Medicine

Education

Meharry Medical College School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Area Community Health 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
• Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdickey287414@direct.ochin.org

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134153752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 RUBY ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-658-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 LIBERTY ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-252-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "JAN",
        "middle_name": "VON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G49405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Huang
• Vanessa Olivia Diaz Mejia
• Alessandra Cindy Diaz
• Alexis Diaz
• Ericka Diaz
• Neal S Dickler, MD
• Andrew Ben Diesh
• Carlos Josue Dimas-Vargas
• Brianne Dimiceli
• Trevor Dimich

• All providers in Fremont, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.