John Richard Dingilian, MD
Individual provider Active NPI Family Medicine Physician · Simi Valley, CA
NPI 1295828291 · NPPES record last updated Oct 5, 2011
Key facts
- NPI
- 1295828291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G75774 (CA)
- Practice address
- 2750 Sycamore Dr
Suite 202
Simi Valley, CA 93065-1500 - Phone
- (805) 527-9140
- Fax
- (805) 527-0783
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 16
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Adventist Health Physicians Network
Practice addresses (Care Compare)
124 Macaw LN
Simi Valley, CA 93065-3152
Phone (805) 306-0304
2950 Sycamore Dr
Simi Valley, CA 93065-1210
2985 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 584-6611
Hospital & facility affiliations
- Adventist Health Home Care Services
- We Care Home Health, Inc
- Assisted Home Care
- Adventist Health Home Care Services
- Adventist Health Simi Valley
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 16
| Facility | Type | Role | Since |
|---|---|---|---|
| Adventist Health Home Care Services |
Home health agency | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care Services |
Home health agency | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care Services |
Home health agency | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care Services |
Home health agency | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care Services |
Home health agency | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care Services |
Home health agency | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care Services-Tillamook |
Home health agency | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care Services |
Home health agency | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care Services |
Home health agency | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care Services |
Home health agency | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care Services |
Hospice | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care |
Hospice | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care Services |
Hospice | Corporate Director | Apr 27, 2021 |
| Adventist Health Hospice |
Hospice | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care Services |
Hospice | Corporate Director | Apr 27, 2021 |
| Adventist Health Home Care Services |
Hospice | Corporate Director | Apr 27, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120208000837 | CA | Practitioner - Family Practice | 8123060621 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Family Medicine | Current | Accepting new patients |
| Dignity Community Care | Past | Accepting new patients | |
| Adventist Health Heart Institute-Ukiah | Past | Accepting new patients |
Locations
301 Science Dr
Ste 180
Moorpark, CA 93021
Phone (805) 529-5265
124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304
2950 Sycamore Dr
Ste 300
Simi Valley, CA 93065
Phone (805) 526-0226
2750 Sycamore Dr
Ste 202
Simi Valley, CA 93065
Phone (805) 527-9140
234 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-0681
Interoperability endpoints
- johnrichard.dingilian.p7@direct.regal.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G75774 | CA | Yes |
Addresses
Primary practice location
2750 Sycamore Dr
Suite 202
Simi Valley, CA 93065-1500
Mailing address
2750 Sycamore Dr
Suite 202
Simi Valley, CA 93065-1500
Phone (805) 527-9140
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0065680 | Medicaid | CA |
Other providers in Simi Valley, CA
- Samuel Richard Di Giovanni
- Diament Wellness Marriage & Counseling, PC
- Alejandra Diaz
- Hector Alejandro Diaz
- George A Dichter
- Fatima Maria Grace Dishaw
- Divine Care Home Health Services Inc.
- Divine Health Provider Physical Therapy Inc
- DM Sinaloa
- Dmitry Aminov Dental Corp
All providers in Simi Valley, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.