Matthew Oliver Dimabuyu

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

161 Butcher Rd Ste B
Vacaville, CA 95687-5685

Phone

(707) 305-1118

NPI assigned

Sep 17, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1144870577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 ASTER ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956888862",
            "telephone_number": "650-278-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 BUTCHER RD STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875685",
            "telephone_number": "707-305-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMABUYU",
        "first_name": "MATTHEW",
        "middle_name": "OLIVER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Diaz, MSW
• Garrett Diehl
• Shanley Dietel
• Casey Diggle, PPS M.A.
• Adelyn Digno
• Nader Dimitry
• Phyllis Ann Dimmick, MASTERS OF ART PSYCH
• Saira Din, L.C.S.W.
• Benjamin Jeffrey Dipardo, M.D.
• Franklyn Okhale Dirisu

• Behavior Technician in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.