Dien DO, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP8990 Issued in AZ

Practice address

6553 E Baywood Ave Ste 201
Mesa, AZ 85206-1754

Phone

(480) 467-2273

Fax

(866) 901-9543

NPI assigned

Oct 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Active Vital Care LLCGroup PAC ID 3870942428, 19 clinicians

Apogee Medical Group IncGroup PAC ID 2961314265, 85 clinicians

Pain Institute of Southern Arizona Pisa PCGroup PAC ID 4688615362, 23 clinicians

Innovative Pain and Wellness PLCGroup PAC ID 0840567111, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25335/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72783

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.

• Active Vital Care LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1326825092

  AZ

  Medicare reassignment Care Compare group NPD
• Apogee Medical Group Inc

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1760652218

  AZ

  Medicare reassignment Care Compare group NPD
• Innovative Pain and Wellness PLC

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1659812444

  AZ

  Medicare reassignment Care Compare group NPD
• Northwest HBP Medical Services LLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1407353006

  AZ, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Pain Institute of Southern Arizona Pisa PC

  • Pain Medicine (Anesthesiology) Physician
  • Tucson, AZ
  • NPI 1861575078

  AZ

  Medicare reassignment Care Compare group NPD
• Agave Adult Medical Care LLC

  • Adult Medicine Physician
  • Sedona, AZ
  • NPI 1861153579

  AZ

  Medicare reassignment NPD
• Angels Valley Community Healthcare Center PLLC

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1689303117

  AZ

  Medicare reassignment NPD
• Neurocritical Care and Stroke of Arizona PLLC

  • Vascular Neurology Physician
  • Phoenix, AZ
  • NPI 1649561580

  AZ

  Medicare reassignment NPD
• Green Valley Hospital Medicine Physicians, LLC

  • Internal Medicine Physician
  • Paducah, KY
  • NPI 1215604236

  AZ, Nurse Practitioner

  Medicare reassignment NPD
• Innovative Pain and Wellness PLC

  • Pain Medicine (Anesthesiology) Physician
  • Scottsdale, AZ
  • NPI 1396428009
  Care Compare group NPD
• Pain Institute of Southern Arizona Pisa PC

  • Pain Medicine (Anesthesiology) Physician
  • San Tan Valley, AZ
  • NPI 1780268912
  Care Compare group NPD
• Innovative Pain and Wellness PLC

  • Pain Medicine (Anesthesiology) Physician
  • Mesa, AZ
  • NPI 1558044263
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Hospital LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1487607784

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1609326289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061754",
            "telephone_number": "480-467-2273",
            "fax_number": "866-901-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061754",
            "telephone_number": "480-467-2273",
            "fax_number": "866-901-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "DIEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-07",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP8990",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "AZ",
            "license": "AP8990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul D Dizon, MD
• Maimuna Djama
• DL Professional Services LLC
• Dme2You LLC
• Juliana Mian DO Prado, PA-C
• Giang DO
• Jessica Vy DO
• Doan Chiropractic & Health Services LLC
• Nhung Doan, PHARMD
• Suzette Dobbins, COTA

• All providers in Mesa, AZ
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.
• 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.