NPIMap

Individual provider Active NPI

Devin Dimond, DPM

  • Foot & Ankle Surgery Podiatrist
  • Medford, OR
National Provider Identifier
1134521750
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5472 Issued in CA
Practice address
1904 E Barnett Rd
Medford, OR 97504-8262
Phone
(541) 776-3338
Fax
(541) 776-4979
NPI assigned
Sep 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5472 CA Primary

Addresses

Primary practice location

1904 E Barnett Rd
Medford, OR 97504-8262

Mailing address

1904 E Barnett Rd
Medford, OR 97504-8262
Phone (541) 776-3338

Other practice location 1

2914 W Main St
Visalia, CA 93291-5731
Phone (559) 627-2849

Other practice location 2

515 W Morton Ave
Porterville, CA 93257
Phone (559) 781-0364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180717002197 CA Practitioner - Podiatry 6305193749 Reassigns benefits to 1 organization
I20200827001411 OR Practitioner - Podiatry 6305193749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Oregon Foot and Ankle LLCGroup PAC ID 3274628359, 4 clinicians

Practice addresses (Care Compare)

1904 E Barnett Rd
Medford, OR 97504-8262
Phone 5417763338202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.09 of 100Reported as group
Quality
83.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue130
Removal of skin lesions1-10
Removal of nail tissue664
Removal or shaving of skin growth311
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5472CAMDSurgery Physician
E5472CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oregon Foot & Ankle, LLC Foot & Ankle Surgery CurrentSince Oct 12, 2020 Accepting new patients
County of Tulare CurrentSince Dec 15, 2018 Accepting new patients
County of Tulare Current Accepting new patients
County of Tulare CurrentSince Dec 15, 2018 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

2611 N Dinuba Blvd
Visalia, CA 93291
Phone (559) 623-0700

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

1904 E Barnett Rd
Medford, OR 97504
Phone (541) 776-3338

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1134521750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048262",
            "telephone_number": "541-776-3338",
            "fax_number": "541-776-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048262",
            "telephone_number": "541-776-3338",
            "fax_number": "541-776-4979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2914 W Main St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932915731",
            "country_code": "US",
            "telephone_number": "559-627-2849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W Morton Ave",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "93257",
            "country_code": "US",
            "telephone_number": "559-781-0364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMOND",
        "first_name": "DEVIN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-26",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.