NPIMap

Individual provider Active NPI

Dennis William Delpaine, MD

  • Allergy & Immunology Physician
  • Stockton, CA
National Provider Identifier
1851452213
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G37345 Issued in CA
Practice address
5309 Carrington Circle
Stockton, CA 95210-3516
Phone
(209) 951-4100
Fax
(209) 951-2324
NPI assigned
Dec 12, 2006
Last updated
Mar 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G37345 CA Primary
Rheumatology Physician 207RR0500X G37345 CA

Addresses

Primary practice location

5309 Carrington Circle
Stockton, CA 95210-3516

Mailing address

5309 Carrington Circle
Stockton, CA 95210-3516
Phone (209) 951-4100

Other identifiers 1

IdentifierTypeStateIssuer
00G373450MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120106000295 CA Practitioner - RheumatologyPractitioner - Allergy/ImmunologyPractitioner - Internal Medicine 8426247198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Allergy/Immunology, Internal Medicine
Education
University of California, Davis School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5309 Carrington Cir
Stockton, CA 95210-3516
Phone (209) 951-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
13.42 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
44.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37345CAMDGeneral Practice Dentistry
G37345CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis W del Paine MD Inc Allergy & Immunology CurrentSince Nov 12, 2011 Accepting new patients

Locations

5309 Carrington Cir
Stockton, CA 95210
Phone (209) 951-4100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1851452213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 CARRINGTON CIRCLE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103516",
            "telephone_number": "209-951-4100",
            "fax_number": "209-951-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 CARRINGTON CIRCLE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103516",
            "telephone_number": "209-951-4100",
            "fax_number": "209-951-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELPAINE",
        "first_name": "DENNIS",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G37345",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G37345",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G373450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.