Active NPI
James D Dibdin MD Inc
- Health Service Clinic/Center
- La Jolla, CA
National Provider Identifier
1841465812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- A39483
- Legal business name
- JAMES D DIBDIN MD INC
- Practice address
- 505 Coast Blvd S Ste 408
La Jolla, CA 92037-4613 - Phone
- (310) 593-3945
- NPI assigned
- Apr 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Donald Dibdin, M.D.
- Title
- President
- Phone
- (310) 593-3945
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | A39483 | CA | Primary |
Addresses
Primary practice location
505 Coast Blvd S Ste 408
La Jolla, CA 92037-4613
Mailing address
1223 Wilshire Blvd # 234
Santa Monica, CA 90403-5406
Phone (310) 593-3945
National Provider Directory
National Provider DirectoryLocations
505 Coast Blvd S
Ste 408
La Jolla, CA 92037
Phone (310) 593-3945
8002 Laurel Canyon Blvd
North Hollywood, CA 91605
Phone (818) 768-5700
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Forensic Pathology Physician
- La Jolla, CA
- NPI 1043268394
-
- Interventional Cardiology Physician
- Sacramento, CA
- NPI 1932239837
-
- Diagnostic Radiology Physician
- Toluca Lake, CA
- NPI 1568478436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662508800000",
"number": "1841465812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 WILSHIRE BLVD # 234",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035406",
"telephone_number": "310-593-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 COAST BLVD S STE 408",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374613",
"telephone_number": "310-593-3945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES D DIBDIN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-29",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "DIBDIN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "DONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-593-3945",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CA",
"license": "A39483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.