Active NPI
Dahlia Ditsworth Woods, M.D.
- Psychiatry Physician
- Stanford, CA
National Provider Identifier
1447519079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A121100
- Practice address
- 401 Quarry Road
Stanford, CA 94305-5717 - Phone
- (310) 694-6242
- NPI assigned
- May 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A121100 | CA | Primary |
Addresses
Primary practice location
401 Quarry Road
Stanford, CA 94305-5717
Mailing address
401 Quarry Road
Stanford, CA 94305
Phone (310) 694-6242
Other names 1
- Miss Dahlia Ditsworth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 26, 2015 through Aug 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A121100 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1447519079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 QUARRY ROAD",
"city": "STANFORD",
"state": "CA",
"postal_code": "94305",
"telephone_number": "310-694-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 QUARRY ROAD",
"city": "STANFORD",
"state": "CA",
"postal_code": "943055717",
"telephone_number": "310-694-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "DAHLIA",
"middle_name": "DITSWORTH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A121100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAHLIA",
"last_name": "DITSWORTH",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.