Caroline Petelo Dimarucot, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A86401 Issued in CA

Practice address

41715 Winchester Rd
Suite 201-B
Temecula, CA 92590-4808

Phone

(951) 296-2960

Fax

(951) 296-2962

NPI assigned

Mar 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Universal Health Services of Rancho Springs Inc

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1245221050
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1962673897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WEST LA PALMA AVE.",
            "address_2": "SUITE #6",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-502-1144",
            "fax_number": "714-502-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41715 WINCHESTER RD",
            "address_2": "SUITE 201-B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904808",
            "telephone_number": "951-296-2960",
            "fax_number": "951-296-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARUCOT",
        "first_name": "CAROLINE",
        "middle_name": "PETELO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A86401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Dickess
• Barbara L. E. Dickman, P.T.
• Graciela M Dierickx
• Danielle W. Dillard, MD PHD
• Roy Dimapilis, PT
• Paul James Dimeglio, OTR/L, HTC
• Kimberly Dimuzio
• Sonia Ding
• Pheobe Dip
• Elias Dires

• Pediatrics Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.