Organization Active NPI

James D Dibdin MD Inc

  • Health Service Clinic/Center
  • La Jolla, CA
National Provider Identifier
1841465812
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
A39483 Issued in CA
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

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
James Donald Dibdin, M.D.NPI 1043268394
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.