Diego Medical Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A60216 Issued in CA

Legal business name

DIEGO MEDICAL CORPORATION

Practice address

30 Mustang Rd
Rancho Palos Verdes, CA 90275-5250

Phone

(310) 549-2840

Fax

(310) 549-3115

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alice Diego-Malit, MDNPI 1720010119

Title

Physician

Phone

(310) 549-2840

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alice Diego-Malit, MD

  • Pediatrics Physician
  • Carson, CA
  • NPI 1720010119
  NPD (past) Authorized official
• Iluminada Diego, MD

  • Pediatrics Physician
  • Carson, CA
  • NPI 1932124021
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225060643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23517 MAIN ST STE 101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455227",
            "telephone_number": "310-549-2840",
            "fax_number": "310-549-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MUSTANG RD",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755250",
            "telephone_number": "310-549-2840",
            "fax_number": "310-549-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGO MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIEGO-MALIT",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-549-2840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A60216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Michelle De la Cruz
• Melanie T. Dee, M.D.
• Del Torto Chiropractic & Sports Inc.
• Desac Group Inc.
• Arthur B Diamond, MD
• Mary L. Dimyan, D.D.S.
• Discovery Practice Management, Inc
• Divine Wellness Spa
• Doctor Zo DC
• Susan Douglas, M.D.

• Pediatrics Physician in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.