Active NPI
Ildiko Judith Dihen, PA-C
- Surgical Physician Assistant
- Santa Clara, CA
National Provider Identifier
1225170384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA-14575
- Practice address
- 710 Lawrence Expy
#290
Santa Clara, CA 95051-5173 - Phone
- (408) 851-2403
- NPI assigned
- Feb 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA-14575 | CA | Primary |
Addresses
Primary practice location
710 Lawrence Expy
#290
Santa Clara, CA 95051-5173
Mailing address
710 Lawrence Expy
#290
Santa Clara, CA 95051-5173
Phone (408) 851-2403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14575 | CA | MD | Mental Health Counselor |
| PA-14575 | CA | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225170384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 LAWRENCE EXPY",
"address_2": "#290",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950515173",
"telephone_number": "408-851-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 LAWRENCE EXPY",
"address_2": "#290",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950515173",
"telephone_number": "408-851-2403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIHEN",
"first_name": "ILDIKO",
"middle_name": "JUDITH",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA-14575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.