Jose a Dheming MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A55611 Issued in CA

Legal business name

JOSE A DHEMING MD INC

Practice address

5385 Walnut Ave
# 4
Chino, CA 91710-2605

Phone

(909) 902-9934

Fax

(909) 902-0754

NPI assigned

Oct 18, 2006

Last updated

Apr 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose A Dheming, M.D.NPI 1013018373

Title

President

Phone

(909) 902-9934

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Adalberto Dheming, MD

  • General Practice Physician
  • Chino, CA
  • NPI 1013018373
  Authorized official Same address or phone

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1750462487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 WALNUT AVE",
            "address_2": "# 4",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102605",
            "telephone_number": "909-902-9934",
            "fax_number": "909-902-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 WALNUT AVE",
            "address_2": "# 4",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102605",
            "telephone_number": "909-902-9934",
            "fax_number": "909-902-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A DHEMING MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "DHEMING",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-902-9934",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A55611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A556110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Chino, CA
• Providers in Chino, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.