Individual provider Active NPI

Cecilia Durban Dimaano, M.D.

  • Specialist
  • Gilbert, AZ
National Provider Identifier
1275635864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13509 Issued in AZ
Practice address
4001 E Baseline Rd
Ste 205
Gilbert, AZ 85234-2726
Phone
(480) 962-7510
Fax
(480) 649-0942
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13509 AZ Primary

Addresses

Primary practice location

4001 E Baseline Rd
Ste 205
Gilbert, AZ 85234-2726

Mailing address

4001 E Baseline Rd
Ste 205
Gilbert, AZ 85234-2726
Phone (480) 962-7510

Other names 1

  • Maria Cecilia Durban Dimaano Other name

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
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275635864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E BASELINE RD",
            "address_2": "STE 205",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342726",
            "telephone_number": "480-962-7510",
            "fax_number": "480-649-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E BASELINE RD",
            "address_2": "STE 205",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342726",
            "telephone_number": "480-962-7510",
            "fax_number": "480-649-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAANO",
        "first_name": "CECILIA",
        "middle_name": "DURBAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "13509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA CECILIA",
            "last_name": "DIMAANO",
            "middle_name": "DURBAN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gilbert, AZ

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.

Verify at the official NPI Registry.