Individual provider Active NPI

Jack Dinh, M.D.

  • Internal Medicine Physician
  • Murrieta, CA
National Provider Identifier
1356366876
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07782100 Issued in NJ
Practice address
40404 California Oaks Rd
Suite C
Murrieta, CA 92562-5786
Phone
(609) 519-1105
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A97273 CA
Internal Medicine Physician 207R00000X 25MA07782100 NJ Primary

Addresses

Primary practice location

40404 California Oaks Rd
Suite C
Murrieta, CA 92562-5786

Mailing address

40404 California Oaks Rd
Ste C
Murrieta, CA 92562-5786
Phone (609) 519-1105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20071030000399 CA Practitioner - Gastroenterology 0244327898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Empire Gastroenterology Medical Group, Inc.Group PAC ID 0749216794, 6 clinicians

Practice addresses (Care Compare)

40404 California Oaks Rd
Suite C
Murrieta, CA 92562-5786
Phone (909) 600-0073

Hospital & facility affiliations

  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770
  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
72.73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy116
Upper gastrointestinal (GI) endoscopy for acid reflux140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07782100NJMDInternal Medicine Physician
A97273CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Empire Gastroenterology Medical Group, Inc. Gastroenterology CurrentSince Jul 1, 2007 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Inland Empire Anesthesiology a Professional Medical Corporation Past Accepting new patients

Locations

40404 California Oaks Rd
Ste C
Murrieta, CA 92562
Phone (909) 600-0073

29645 Rancho California Rd
Ste 209
Temecula, CA 92591
Phone (951) 693-9800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://46b7fca8-aab7-4c56-a183-88533aef4e46.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: jdinh181897@direct.llu.edu

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1356366876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40404 CALIFORNIA OAKS RD",
            "address_2": "STE C",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625786",
            "telephone_number": "609-519-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40404 CALIFORNIA OAKS RD",
            "address_2": "SUITE C",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625786",
            "telephone_number": "609-519-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "JACK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A97273",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07782100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.