Ethel Dijamco, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A48307 Issued in CA

Practice address

6511 Van Nuys Blvd
Van Nuys, CA 91401-1425

Phone

(818) 901-9090

Fax

(818) 901-9347

NPI assigned

Nov 28, 2006

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

Other identifiers 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

General Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roy Medical Group IncGroup PAC ID 1658682729, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Roy Medical Group, Inc.

  • General Practice Physician
  • Canoga Park, CA
  • NPI 1801921952
  Medicare reassignment Care Compare group NPD
• El Monte Clinica Medica General Medical Center, Inc

  • Multi-Specialty Clinic/Center
  • El Monte, CA
  • NPI 1093762593
  Medicare reassignment NPD
• Santa Ana Clinica Medica General Medical Center Inc.

  • Multi-Specialty Clinic/Center
  • Santa Ana, CA
  • NPI 1104873686
  NPD (past)
• Memorial Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1255523643
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1780750752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10432",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902133432",
            "telephone_number": "213-637-2530",
            "fax_number": "213-384-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011425",
            "telephone_number": "818-901-9090",
            "fax_number": "818-901-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIJAMCO",
        "first_name": "ETHEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A48307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A483070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Alyssa Dienstag
• Nina Diepenbrock
• Dignity Health (Northridge Hospital Medical Center - Sherman Way Campus)
• Dignity Hospice and Palliative Care,Inc.
• Dignity Hospice Services Corporation
• Brenda Jasmine Dillon
• Jaime Diluigi
• Leslie A Dimascio, MFT
• Elena Dimitrova
• Dina Chanturiya DDS Inc

• General Practice Physician in Van Nuys, CA
• Providers in Van Nuys, 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 Jul 9, 2007; 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.