Individual provider Active NPI

Delisa Alma Dimpudus

  • Family Nurse Practitioner
  • Redlands, CA
National Provider Identifier
1851939979
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013566 Issued in CA
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

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710000613 CA Practitioner - Nurse Practitioner 8022432582 Reassigns benefits to 4 organizations

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
Mihir K Sanghvi MD IncGroup PAC ID 9436447240, 3 clinicians
Jun R. Chiong, MD, MPH, Inc.Group PAC ID 5597925974, 12 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
95013566CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. Current Accepting new patients
Mission City Community Network, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Mission City Community Network, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Mihir K. Sanghvi, M.D., Inc. CurrentSince Aug 1, 2025 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Jun 10, 2020 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Jun 10, 2020 Accepting new patients
Algos Inc., a Medical Corporation Current Accepting new patients
Jun R. Chiong, MD, MPH, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Medex Specialty Network, Inc. CurrentSince May 17, 2024 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

  • Direct secure messaging: delisa.dimpudus.1@3574.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.