Active NPI
Delisa Alma Dimpudus
- Family Nurse Practitioner
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95013566
- Practice address
- 461 Tennessee St Ste C
Redlands, CA 92373-8161 - Phone
- (269) 861-5044
- Fax
- (269) 861-5044
- NPI assigned
- Dec 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95013566 | CA | Primary |
Addresses
Primary practice location
461 Tennessee St Ste C
Redlands, CA 92373-8161
Mailing address
461 Tennessee St Ste C
Redlands, CA 92373-8161
Phone (269) 861-5044
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Claremont, CA 91711
Phone (951) 323-5598
461 Tennessee St
Suite C
Redlands, CA 92373-8161
Phone (909) 475-7371
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.08 of 100
- Quality
- 5.65
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 61.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95013566 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Mihir K. Sanghvi, M.D., Inc. | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Jun R. Chiong, MD, MPH, Inc. | Current | Accepting new patients | |
| Medex Specialty Network, Inc. | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Past | Accepting new patients |
Locations
13193 Central Ave
Ste 220
Chino, CA 91710
Phone (909) 591-0843
891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308
1325 E Cooley Dr
Ste 101
Colton, CA 92324
Phone (909) 204-7860
8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602
1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200
69780 Stellar Dr
#A
Rancho Mirage, CA 92270
Phone (760) 424-3380
12223 Highland Ave
Ste 106804
Rch Cucamonga, CA 91739
461 Tennessee St
Ste C
Redlands, CA 92373
Phone (909) 475-7371
414 Tennessee St
Ste Xx
Redlands, CA 92373
Phone (909) 475-7371
15206 Parthenia St
Sepulveda, CA 91343
15201 Eleventh St
Ste 300
Victorville, CA 92395
Phone (760) 245-1640
Interoperability endpoints
- delisa.dimpudus.1@3574.direct.athenahealth.com
- https://api.platform.athenahealth.com/3574/brand/1/csg/1/fhir/r4
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Redlands, CA
- NPI 1093099046
-
- Geriatric Medicine (Family Medicine) Physician
- Rancho Cucamonga, CA
- NPI 1033665252
-
- Pain Medicine Physician
- Pasadena, CA
- NPI 1497747356
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hollywood, CA
- NPI 1710102009
-
- Pain Medicine Physician
- Visalia, CA
- NPI 1245832419
-
- Pain Medicine Physician
- Torrance, CA
- NPI 1902108731
-
- Cardiovascular Disease Physician
- Redlands, CA
- NPI 1659134252
-
- Federally Qualified Health Center (FQHC)
- Victorville, CA
- NPI 1265708994
-
- Community Health Clinic/Center
- North Hills, CA
- NPI 1710370747
-
- Pain Medicine Physician
- Simi Valley, CA
- NPI 1063890275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1851939979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 TENNESSEE ST STE C",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738161",
"telephone_number": "269-861-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 TENNESSEE ST STE C",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738161",
"telephone_number": "269-861-5044",
"fax_number": "269-861-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMPUDUS",
"first_name": "DELISA",
"middle_name": "ALMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-19",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95013566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.