Individual provider Active NPI

Alia Jamison-Dinowitz, FNP-C

  • Family Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1942862453
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010758 Issued in CA
Practice address
1523 W Avenue J Ste 7
Lancaster, CA 93534-2819
Phone
(661) 945-2221
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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 95010758 CA Primary

Addresses

Primary practice location

1523 W Avenue J Ste 7
Lancaster, CA 93534-2819

Mailing address

1523 W Avenue J
Ste 7
Lancaster, CA 93534-2819
Phone (661) 945-2221

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
I20211022001370 CA Practitioner - Nurse Practitioner 5395156608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Av Pediatrics Medical Associates. Inc.Group PAC ID 8628052404, 5 clinicians

Practice addresses (Care Compare)

1523 W Ave J
Lancaster, CA 93534-2819
Phone (661) 945-2221

Hospital & facility affiliations

  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95010758CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
P.C Medical Clinic Inc CurrentSince Sep 12, 2021 Accepting new patients

Locations

1523 W Avenue J
Ste 7
Lancaster, CA 93534
Phone (661) 945-2221

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 and National Provider Directory roles.

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1942862453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 W AVENUE J",
            "address_2": "STE 7",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342819",
            "telephone_number": "661-945-2221",
            "fax_number": "661-945-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 W AVENUE J STE 7",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342819",
            "telephone_number": "661-945-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON-DINOWITZ",
        "first_name": "ALIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.