Organization Active NPI

Jens W. Dimmick

  • Sleep Medicine (Internal Medicine) Physician
  • Santa Ana, CA
National Provider Identifier
1649486127
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
G26557 Issued in CA
Legal business name
JENS W. DIMMICK
Practice address
2700 N Main St
400
Santa Ana, CA 92705-6634
Phone
(714) 834-1555
Fax
(714) 834-0780
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Dr. Jens W Dimmick, M.D.
Title
Owner
Phone
(714) 834-1555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X G26557 CA Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X

Addresses

Primary practice location

2700 N Main St
400
Santa Ana, CA 92705-6634

Mailing address

2700 N Main St
Suite 400
Santa Ana, CA 92705-6634
Phone (714) 834-1555

Other names 1

  • Mesa Medical Group Doing business as

National Provider Directory

National Provider Directory

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1649486127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N MAIN ST",
            "address_2": "SUITE 400",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056634",
            "telephone_number": "714-834-1555",
            "fax_number": "714-834-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N MAIN ST",
            "address_2": "400",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056634",
            "telephone_number": "714-834-1555",
            "fax_number": "714-834-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENS W. DIMMICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "DIMMICK",
        "authorized_official_first_name": "JENS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-834-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G26557",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesa Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.