Individual provider Active NPI

Jose M Dimen, M.D.

  • Cardiovascular Disease Physician
  • Hemet, CA
National Provider Identifier
1710915095
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A44438 Issued in CA
Practice address
1275 E Latham Ave Ste a
Hemet, CA 92543
Phone
(951) 652-5555
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A44438 CA Primary

Addresses

Primary practice location

1275 E Latham Ave Ste a
Hemet, CA 92543

Mailing address

1275 E Latham Ave Ste a
Hemet, CA 92543-4424
Phone (951) 652-5555

Other practice location 1

2190 E 11th Ave
#707
Denver, CO 80206-2980
Phone (951) 240-0605

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061002000623 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2264321231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44438CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anil Rastogi MD Inc Cardiovascular Disease CurrentSince Aug 1, 2015 Accepting new patients
Heart Institute of Southern California, Apmc Cardiovascular Disease Past Accepting new patients

Locations

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

1275 E Latham Ave
Ste A
Hemet, CA 92543
Phone (909) 652-5555

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1710915095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 E LATHAM AVE STE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434424",
            "telephone_number": "951-652-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 E LATHAM AVE STE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "951-652-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2190 E 11th Ave",
            "address_2": "#707",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802062980",
            "country_code": "US",
            "telephone_number": "951-240-0605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMEN",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A44438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.