Diabetes Associates Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A50150 Issued in CA

Legal business name

DIABETES ASSOCIATES MEDICAL GROUP

Practice address

1310 W Stewart Dr Ste 610
Orange, CA 92868-3857

Phone

(714) 639-1815

Fax

(714) 638-2374

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ivy-Joan Madu, M.D.NPI 1710988662

Title

President

Phone

(714) 639-1815

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivy-Joan Erinma Madu, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Orange, CA
  • NPI 1710988662
  Medicare reassignment Authorized official
• Jean Elizabeth Kigozi, RD

  • Registered Dietitian
  • Compton, CA
  • NPI 1528235520
  Medicare reassignment
• Bertha Melendez

  • Family Nurse Practitioner
  • Orange, CA
  • NPI 1184299943
  NPD

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1407164460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR STE 610",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683857",
            "telephone_number": "714-639-1815",
            "fax_number": "714-638-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR STE 610",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683857",
            "telephone_number": "714-639-1815",
            "fax_number": "714-638-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES ASSOCIATES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "MADU",
        "authorized_official_first_name": "IVY-JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-639-1815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A501501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Di Pasqua
• Marcos Di Pinto, PH.D.
• Dale V Di Stefano, M.D.
• Pamela Maree Ramirez Di Tomasso, PHARMD
• John Diab, PA
• Dragos Diaconescu, M.D.
• Diagnostic Clinical Solutions
• Naresh Dialani, D.D.S.
• Gloria Carolina Dialynas
• Catherine Diamond, MD

• Internal Medicine Physician in Orange, CA
• Providers in Orange, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.