Organization Active NPI

Dietonex

  • Endocrinology, Diabetes & Metabolism Physician
  • Escondido, CA
National Provider Identifier
1588033914
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
DIETONEX
Practice address
625 Citracado Pkwy
Suite 104
Escondido, CA 92025-6428
Phone
(760) 294-2757
NPI assigned
Sep 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Dr. Timothy Bailey, MDNPI 1194800052
Title
President
Phone
(760) 466-1530

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

625 Citracado Pkwy
Suite 104
Escondido, CA 92025-6428

Mailing address

625 Citracado Pkwy
Suite 104
Escondido, CA 92025-6428
Phone (760) 294-2757

National Provider Directory

National Provider Directory

Locations

625 Citracado Pkwy
Ste 104
Escondido, CA 92025
Phone (760) 294-2757

Practitioners & affiliated clinicians

Practitioners 1

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": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1588033914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CITRACADO PKWY",
            "address_2": "SUITE 104",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256428",
            "telephone_number": "760-294-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CITRACADO PKWY",
            "address_2": "SUITE 104",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256428",
            "telephone_number": "760-294-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETONEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-466-1530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.