Organization Active NPI

Jay P Diliberto MD Inc

  • Gastroenterology Physician
  • Huntington Beach, CA
National Provider Identifier
1467754226
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G65221 Issued in CA
Legal business name
JAY P DILIBERTO MD INC
Practice address
18800 Delaware St
Suite 850
Huntington Beach, CA 92648-1959
Phone
(714) 596-2800
Fax
(714) 596-0551
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Jay P Diliberto, MDNPI 1821154105
Title
Ceo
Phone
(714) 596-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X G65221 CA Primary

Addresses

Primary practice location

18800 Delaware St
Suite 850
Huntington Beach, CA 92648-1959

Mailing address

18800 Delaware St
Suite 850
Huntington Beach, CA 92648-1959
Phone (714) 596-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110322000677 CA Part B Supplier - Clinic/Group Practice 2264615632 Receives reassigned benefits from 3 practitioners
Practice locations: Huntington Beach, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1001150Jay P Diliberto MD18800 Delaware St Ste 850, Huntington Beach, CA 92648ComplianceDec 7, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHDIBA

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1467754226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST",
            "address_2": "SUITE 850",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481959",
            "telephone_number": "714-596-2800",
            "fax_number": "714-596-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST",
            "address_2": "SUITE 850",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481959",
            "telephone_number": "714-596-2800",
            "fax_number": "714-596-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY P DILIBERTO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "DILIBERTO",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-596-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G65221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.