Devita Elsa Dimpudus, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95032404 Issued in CA

Practice address

461 Tennessee St Ste C
Redlands, CA 92373-8161

Phone

(909) 475-7371

Fax

(855) 233-7921

NPI assigned

Mar 5, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jun R. Chiong, MD, MPH, Inc.Group PAC ID 5597925974, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: devita.elsa.dimpudus.1@3574.direct.athenahealth.com
• Direct secure messaging: advancedpsychiatryassociates.devitadimpudus@157293.advancedmd-direct.com
• FHIR API: https://api.platform.athenahealth.com/3574/brand/1/csg/1/fhir/r4

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.

• Jun R. Chiong, MD, MPH, Inc.

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1093099046
  Medicare reassignment Care Compare group NPD
• Hisham Soliman MD Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Folsom, CA
  • NPI 1700199080
  Medicare reassignment NPD
• Medex Specialty Network, Inc.

  • Cardiovascular Disease Physician
  • Redlands, CA
  • NPI 1659134252
  Medicare reassignment NPD
• H Soliman Medical Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Folsom, CA
  • NPI 1710595889

  Psychiatric/Mental Health

  NPD (past)
• Optimum Medical Supply Corporation

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
  • NPI 1720650476
  NPD (past)

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1730987645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25925 BARTON ROAD UNIT 134",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "269-240-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 TENNESSEE ST STE C",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738161",
            "telephone_number": "909-475-7371",
            "fax_number": "855-233-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMPUDUS",
        "first_name": "DEVITA",
        "middle_name": "ELSA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95032404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William August Diez Jr., PA-C
• Matthew Lawrence Diggory, O.D.
• Digna Rivera Woolum Licensed Clinical Social Worker Inc a Prof
• Gabrielle Dillard
• Delisa Alma Dimpudus
• Pauline Mary Dinnauer, AU.D.
• Soneela Ditta, LCSW
• Brandon Dittmar
• Sakari Dixon
• Varonica Dixon, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Redlands, CA
• Providers in Redlands, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.