Individual provider Active NPI

Jay P Diliberto, MD

  • Gastroenterology Physician
  • Huntington Beach, CA
National Provider Identifier
1821154105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G65221 Issued in CA
Practice address
18800 Delaware St Ste 850
Huntington Beach, CA 92648-6087
Phone
(714) 596-2800
Fax
(714) 596-0551
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G65221 CA Primary

Addresses

Primary practice location

18800 Delaware St Ste 850
Huntington Beach, CA 92648-6087

Mailing address

18800 Delaware St Ste 850
Huntington Beach, CA 92648-6087
Phone (714) 596-2800

Other identifiers 1

IdentifierTypeStateIssuer
00G652210MedicaidCA

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
I20110325000021 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 8325221799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
University of California, Irvine, California College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jay P Diliberto MD IncGroup PAC ID 2264615632, 2 clinicians

Practice addresses (Care Compare)

18800 Delaware St
Suite 850
Huntington Beach, CA 92648-6087
Phone (714) 596-2800

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
94.97 of 100Reported as individual
Quality
90
Improvement activities
40
Cost
96.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy206
Upper gastrointestinal (GI) endoscopy for acid reflux111
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G65221CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Memorial Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jay.diliberto@jdmi.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821154105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST STE 850",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486087",
            "telephone_number": "714-596-2800",
            "fax_number": "714-596-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST STE 850",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486087",
            "telephone_number": "714-596-2800",
            "fax_number": "714-596-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILIBERTO",
        "first_name": "JAY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G65221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G652210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.