Individual provider Active NPI

Catherine Bagamasbad Dimapilis, A-GNP-C

  • Nurse Practitioner
  • Indio, CA
National Provider Identifier
1861179384
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95024884 Issued in CA
Practice address
46883 Monroe St Ste 200
Indio, CA 92201-6769
Phone
(760) 254-8960
Fax
(760) 208-1802
NPI assigned
Jun 28, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95024884 CA
Gerontology Nurse Practitioner 363LG0600X 95024884 CA
Nurse Practitioner 363L00000X 95024884 CA Primary

Addresses

Primary practice location

46883 Monroe St Ste 200
Indio, CA 92201-6769

Mailing address

3660 Park Sierra Dr Ste 203
Riverside, CA 92505-3071
Phone (951) 687-3400

Other practice location 1

36955 Cook St Ste 102
Palm Desert, CA 92211-6084
Phone (760) 341-4839

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
I20230818001694 CA Practitioner - Nurse Practitioner 7214399427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians

Practice addresses (Care Compare)

3660 Park Sierra Dr
Riverside, CA 92505-3071
Phone (951) 687-2800

42362 Bob Hope Dr
Suite 1
Rancho Mirage, CA 92270-4483
Phone (760) 341-4839

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.78 of 100Reported as group
Quality
50.43
Promoting interoperability
0
Improvement activities
40
Cost
75.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024884CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates Medical Group Inc CurrentSince Aug 14, 2023 Accepting new patients
Desert Nephrology Past Accepting new patients

Locations

46883 Monroe St
Ste 200
Indio, CA 92201
Phone (760) 254-8960

36955 Cook St
Ste 102
Palm Desert, CA 92211
Phone (760) 341-4839

42362 Bob Hope Dr
Ste 1
Rancho Mirage, CA 92270
Phone (760) 341-4839

3660 Park Sierra Dr
Ste 203
Riverside, CA 92505
Phone (951) 687-3400

3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: catherine.dimapilis.1@19859.direct.athenahealth.com

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1861179384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053071",
            "telephone_number": "951-687-3400",
            "fax_number": "951-687-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46883 MONROE ST STE 200",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016769",
            "telephone_number": "760-254-8960",
            "fax_number": "760-208-1802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36955 Cook St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922116084",
            "country_code": "US",
            "telephone_number": "760-341-4839",
            "fax_number": "760-340-3536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMAPILIS",
        "first_name": "CATHERINE",
        "middle_name": "BAGAMASBAD",
        "name_prefix": "Mrs.",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95024884",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95024884",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.