NPIMap

Individual provider Active NPI

John Richard Dingilian, MD

  • Family Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1295828291
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G75774 Issued in 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
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G75774 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000837 CA Practitioner - Family Practice 8123060621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

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

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Family Medicine Current Accepting new patients
Adventist Health Physicians Network CurrentSince May 1, 2013 Accepting new patients
Adventist Health Physicians Network CurrentSince May 1, 2013 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

2750 Sycamore Dr
Ste 202
Simi Valley, CA 93065
Phone (805) 527-9140

2950 Sycamore Dr
Ste 300
Simi Valley, CA 93065
Phone (805) 526-0226

234 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-0681

Interoperability endpoints

  • Direct secure messaging: johnrichard.dingilian.p7@direct.regal.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 16

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adventist Health Home Care ServicesHanford, CA, CCN 057477 Home health agency Corporate Director Apr 27, 2021
Adventist Health Home Care ServicesWillits, CA, CCN 557283 Home health agency Corporate Director Apr 27, 2021
Adventist Health Home Care ServicesLower Lake, CA, CCN 057710 Home health agency Corporate Director Apr 27, 2021
Adventist Health Home Care ServicesKaneohe, HI, CCN 127017 Home health agency Corporate Director Apr 27, 2021
Adventist Health Home Care ServicesBakersfield, CA, CCN 557094 Home health agency Corporate Director Apr 27, 2021
Adventist Health Home Care ServicesPortland, OR, CCN 387047 Home health agency Corporate Director Apr 27, 2021
Adventist Health Home Care Services-TillamookTillamook, OR, CCN 387312 Home health agency Corporate Director Apr 27, 2021
Adventist Health Home Care ServicesLodi, CA, CCN 057278 Home health agency Corporate Director Apr 27, 2021
Adventist Health Home Care ServicesSimi Valley, CA, CCN 057537 Home health agency Corporate Director Apr 27, 2021
Adventist Health Home Care ServicesSonora, CA, CCN 557561 Home health agency Corporate Director Apr 27, 2021
Adventist Health Home Care ServicesHanford, CA, CCN 051670 Hospice Corporate Director Apr 27, 2021
Adventist Health Home CareWillits, CA, CCN 051649 Hospice Corporate Director Apr 27, 2021
Adventist Health Home Care ServicesGlendale, CA, CCN 551635 Hospice Corporate Director Apr 27, 2021
Adventist Health HospicePortland, OR, CCN 381507 Hospice Corporate Director Apr 27, 2021
Adventist Health Home Care ServicesBakersfield, CA, CCN A11719 Hospice Corporate Director Apr 27, 2021
Adventist Health Home Care ServicesSonora, CA, CCN 051609 Hospice Corporate Director Apr 27, 2021

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 16

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1295828291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 SYCAMORE DR",
            "address_2": "SUITE 202",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651500",
            "telephone_number": "805-527-9140",
            "fax_number": "805-527-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SYCAMORE DR",
            "address_2": "SUITE 202",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651500",
            "telephone_number": "805-527-9140",
            "fax_number": "805-527-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGILIAN",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G75774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.