Active NPI
Holly Dieu, M.D.
- Internal Medicine Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A159955
- Practice address
- 1250 16TH St Ste 125
Santa Monica, CA 90404-1249 - Phone
- (310) 315-8900
- Fax
- (310) 315-8902
- NPI assigned
- Mar 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A159955 | CA | |
| Internal Medicine Physician | 207R00000X | A159955 | CA | Primary |
Addresses
Primary practice location
1250 16TH St Ste 125
Santa Monica, CA 90404-1249
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
Other practice location 1
1245 16th St Ste 204
Santa Monica, CA 90404-1240
Phone (310) 319-4141
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190712002650 | CA | Practitioner - Internal Medicine | 5597090506 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Regents of the University of California
Practice addresses (Care Compare)
1245 16TH St
Santa Monica, CA 90404-1240
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
6000 Sepulveda Blvd
Suite E10
Culver City, CA 90230-6421
Phone (310) 313-0020
Hospital & facility affiliations
- Ronald Reagan UCLA Medical Center
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A159955 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Luther King Jr Community Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| Superior Hospitalist Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Regents University of California | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Regents University of California | Internal Medicine | Current | Accepting new patients |
| The Regents of the University of California | Internal Medicine | Current | Accepting new patients |
| Regents of the University of California | Internal Medicine | Current | Accepting new patients |
| Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| UCLA Medical Group | Internal Medicine | Past | Accepting new patients |
Locations
2251 W Rosecrans Ave
Ste 1821
Compton, CA 90222
Phone (424) 338-8675
135 E Compton Blvd
Compton, CA 90220
Phone (424) 296-3800
2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792
2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755
6000 Sepulveda Blvd
Ste E10
Culver City, CA 90230
Phone (310) 313-0020
1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000
24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252
757 Westwood Plz
#951752
Los Angeles, CA 90095
Phone (310) 267-9124
File 55737
Los Angeles, CA 90074
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448
File 59755
Los Angeles, CA 90074
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
1250 16th St
Ste 125
Santa Monica, CA 90404
Phone (310) 315-8900
1260 15th St
Ste 1501
Santa Monica, CA 90404
Phone (310) 656-1700
1245 16th St
Ste 204
Santa Monica, CA 90404
Phone (310) 319-3222
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
Interoperability endpoints
- hdieu529798@direct.uclahealth.org
Organizations & group practices 22
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
CA, Internal Medicine
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1356899777
CA, Internal Medicine
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1891110888
CA, Internal Medicine
-
- Family Medicine Physician
- Santa Monica, CA
- NPI 1710287297
CA, Internal Medicine
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1780047712
CA, Internal Medicine
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
-
- Ambulatory Surgical Clinic/Center
- Thousand Oaks, CA
- NPI 1205566544
-
- Ambulatory Surgical Clinic/Center
- West Hills, CA
- NPI 1215381843
-
- Durable Medical Equipment & Medical Supplies
- Santa Monica, CA
- NPI 1316522758
-
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
- NPI 1316531197
-
- Ambulatory Surgical Clinic/Center
- North Hollywood, CA
- NPI 1366041469
-
- Durable Medical Equipment & Medical Supplies
- Woodland Hills, CA
- NPI 1447844113
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
Hospital
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1184155285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8707",
"fax_number": "310-301-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 16TH ST STE 125",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041249",
"telephone_number": "310-315-8900",
"fax_number": "310-315-8902"
}
],
"practiceLocations": [
{
"address_1": "1245 16th St Ste 204",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041240",
"country_code": "US",
"telephone_number": "310-319-4141",
"fax_number": "310-319-4371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIEU",
"first_name": "HOLLY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-21",
"last_updated": "2023-01-13",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A159955",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A159955",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4733 W Sunset Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900276021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.