David W. Dinwiddie, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G74985 Issued in CA

Practice address

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806

Phone

(626) 851-1011

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Jefferson Medical College of Thomas Jefferson University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Legacy Marketing Worldwide IncGroup PAC ID 3072819945, 5 clinicians

Perpetual Mobile Medical Group IncGroup PAC ID 3779951165, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Loving Home Health Services, Inc Home health agency, Glendale, CA, CCN 753157
• NCM Care Home Health, LLC Home health agency, Burbank, CA, CCN 559439
• Primary Care Homehealthcare Inc Home health agency, Van Nuys, CA, CCN 559298
• Red Rose Home Health Home health agency, Burbank, CA, CCN 757537
• Best Care Unlimited Home Health Home health agency, Sherman Oaks, CA, CCN 559658

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Legacy Marketing Worldwide Inc.

  dba Perpetual Medical Group

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1336505197
  Medicare reassignment Care Compare group NPD
• Perpetual Mobile Medical Group Inc

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1457084386
  Medicare reassignment Care Compare group NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment Care Compare group NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD

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

• Best Care Unlimited Home Health

  • Home Health Agency
  • Burbank, CA
  • NPI 1598362238
  Care Compare affiliation
• Loving Home Health Services Inc

  • Home Health Agency
  • Canoga Park, CA
  • NPI 1386250751
  Care Compare affiliation
• NCM Care Home Health

  • Home Health Agency
  • Burbank, CA
  • NPI 1811510548
  Care Compare affiliation
• Primary Care Homehealthcare Inc

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1639632078
  Care Compare affiliation
• Red Rose Home Health

  • Home Health Agency
  • Burbank, CA
  • NPI 1174296222
  Care Compare affiliation

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1679644587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BALDWIN PARK BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065806",
            "telephone_number": "626-851-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BALDWIN PARK BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065806",
            "telephone_number": "626-851-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINWIDDIE",
        "first_name": "DAVID",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G74985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Baldwin Park Blvd",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelica Joleen Diaz
• Laura Diaz
• Veronica Isabel Diaz, D.C.
• Digestive and Liver Disease Specialists a Medical Group Inc
• Tamer Fayez Fouad Dimian, B.SC.PHARMACY
• Angela DO, PA
• Dennis Trung DO, PHARMD
• Thai T. DO, MD
• Christina Doan
• Brian J. Doerning, MD

• Family Medicine Physician in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.