Paul Eric Dicesare, MD

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

G62347 Issued in CA

Practice address

1544 Weatherly Road
Carlsbad, CA 92011

Phone

(422) 244-7177

Fax

(916) 703-5074

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1821096157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 WEATHERLY ROAD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92011",
            "telephone_number": "916-734-5885",
            "fax_number": "916-734-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 WEATHERLY ROAD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92011",
            "telephone_number": "422-244-7177",
            "fax_number": "916-703-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICESARE",
        "first_name": "PAUL",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NY",
            "license": "190463",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "G62347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050599",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casandra Ashley Diaz
• Melissa Diaz
• Virginia Diaz, RN
• Khloe Dibiase
• Mary Jo Dicario, LMFT
• Andrew Dickman, M.A.
• Minh Diep
• Deborah Diferdinando, PSY.D., MFT, CADCII
• Ashley Dilley
• Tiphanie Dillon

• Adult Reconstructive Orthopaedic Surgery Physician in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.