Consuelos S. Dizon, M.D.
Individual provider Active NPI Anesthesiology Physician · Oakdale, CA
NPI 1609807346 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1609807346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- A26445 (CA)
- Practice address
- Oak Valley Hospital
350 South Oak Ave.
Oakdale, CA 95361 - Phone
- (303) 848-4192
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A26445 | CA | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A26445 | CA | Yes |
Addresses
Primary practice location
Oak Valley Hospital
350 South Oak Ave.
Oakdale, CA 95361
Mailing address
874 E Woodward Ave SPC 32
Manteca, CA 95337-9244
Phone (510) 995-1653
Other providers in Oakdale, CA
- Michael A. Dayan
- Lewis Michael Deldebbio
- Paul S. Depaulo
- Rachel Dickerson
- Kimberly Noelle Dickson
- Savannah Jean Drewry
- Pablo Felipe Duque
- Dennis G. Durr
- Jill Rebekah Dutra
- Eugene Chukwudi Echegi
All providers in Oakdale, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.