Individual provider Active NPI

Ernesto G Dizon Jr., MD

  • Surgery Physician
  • Sunnyside, WA
National Provider Identifier
1326070871
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.MD.60001794 Issued in WA
Practice address
500 S 11TH St
Sunnyside, WA 98944-2240
Phone
(509) 837-7722
NPI assigned
Jul 7, 2006
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 053848 GA
Surgery Physician 208600000X MD.MD.60001794 WA Primary

Addresses

Primary practice location

500 S 11TH St
Sunnyside, WA 98944-2240

Mailing address

PO Box 719
Sunnyside, WA 98944-0719
Phone (509) 837-1617

Other practice location 1

1420 Ahtanum Ridge Dr
Union Gap, WA 98903-1839
Phone (509) 454-7700

Other identifiers 3

IdentifierTypeStateIssuer
159884778DMedicaidGA
2000273MedicaidWA
159884778CMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090306000144 WA Practitioner - General SurgeryPractitioner - Thoracic Surgery 1052201274 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SHC Medical Center ToppenishGroup PAC ID 4082980065, 43 clinicians

Practice addresses (Care Compare)

1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone (509) 837-1500

1420 Ahtanum Ridge Dr
Union Gap, WA 98903-1839
Phone (509) 454-7700

2925 Allen Rd
Sunnyside, WA 98944-8931
Phone (509) 837-4949

355 Chardonnay Ave
Prosser, WA 99350-9521
Phone (509) 781-6366

3907 Creekside Loop
Suite 130
Yakima, WA 98902-4879
Phone (509) 225-4555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association Current Accepting new patients
Sunnyside Community Hospital Association CurrentSince Sep 1, 2021 Accepting new patients
SHC Medical Center Toppenish CurrentSince Sep 1, 2021 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Sep 1, 2021 Accepting new patients
RCCH Trios Health LLC CurrentSince Aug 1, 2018 Accepting new patients
Dublin Multispecialty LLC Past Accepting new patients
Southeastern Surgery & Sleep Apnea Treatment Ctr. LLC PastSince May 2, 2005 Accepting new patients
Sunnyside Community Hospital Association Surgery Past Accepting new patients
General and Thoracic Surgery of Georgia,LLC Surgery Past Accepting new patients

Locations

900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111

3730 Plaza Way
Fl 5
Kennewick, WA 99338
Phone (509) 221-5969

3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

216 W 10th Ave
Ste 206
Kennewick, WA 99336
Phone (509) 221-5520

355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

500 S 11th St
Sunnyside, WA 98944
Phone (509) 837-1722

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

516 W 4th Ave
Toppenish, WA 98948
Phone (509) 865-1555

1420 Ahtanum Ridge Dr
Union Gap, WA 98903
Phone (509) 454-7700

3907 Creekside Loop
Ste 130
Yakima, WA 98902
Phone (509) 225-4555

915 Vintage Valley Pkwy
Ste 200
Zillah, WA 98953
Phone (509) 314-6565

Organizations & group practices 9

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 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1326070871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 11TH ST",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442240",
            "telephone_number": "509-837-7722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 Ahtanum Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Union Gap",
            "state": "WA",
            "postal_code": "989031839",
            "country_code": "US",
            "telephone_number": "509-454-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIZON",
        "first_name": "ERNESTO",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "053848",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD.MD.60001794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159884778D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000273",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159884778C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, WA

Sources for this page

Verify at the official NPI Registry.