Individual provider Active NPI

Cecilia Tien Dinh, D.O.

  • Family Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1831500917
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A15687 Issued in CA
Practice address
1550 Superior Ave
Costa Mesa, CA 92627-3778
Phone
(949) 270-2100
Fax
(949) 650-4458
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A15687 CA Primary

Addresses

Primary practice location

1550 Superior Ave
Costa Mesa, CA 92627-3778

Mailing address

20151 SW Birch St Ste 100
Newport Beach, CA 92660-1794
Phone (949) 270-2100

Other practice location 1

1014 N Broadway
Santa Ana, CA 92701-3408
Phone (949) 270-2100

Other practice location 2

307 Placentia Ave
Newport Beach, CA 92663-3310
Phone (949) 270-2100

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
I20180917000474 CA Practitioner - Family Practice 7113220948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Share Our Selves CorporationGroup PAC ID 4789854993, 7 clinicians

Practice addresses (Care Compare)

1550 Superior Ave
Costa Mesa, CA 92627-3653
Phone (949) 270-2100

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15687CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Share Our Selves Corporation CurrentSince Jul 3, 2020 Accepting new patients
Share Our Selves Corporation CurrentSince Jul 3, 2020 Accepting new patients
Share Our Selves Corporation Current Accepting new patients

Locations

1550 Superior Ave
Costa Mesa, CA 92627
Phone (949) 650-0186

20151 SW Birch St
Ste 100
Newport Beach, CA 92660

307 Placentia Ave
Ste 107
Newport Beach, CA 92663
Phone (949) 270-2153

1014 N Broadway
Santa Ana, CA 92701
Phone (949) 270-2132

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cdinh314446@direct.ochin.org

Organizations & group practices 3

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1831500917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20151 SW BIRCH ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601794",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SUPERIOR AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273778",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-4458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927013408",
            "country_code": "US",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-4458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Placentia Ave",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633310",
            "country_code": "US",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-4458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINH",
        "first_name": "CECILIA",
        "middle_name": "TIEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A15687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.