Neal Dixon, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA14145 Issued in CA

Practice address

264 Highland Springs Avenue
Building 1B
Banning, CA 92220-4823

Phone

(951) 769-7191

Fax

(951) 769-7195

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1972650695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 HIGHLAND SPRINGS AVENUE BLDG 1B",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922200000",
            "telephone_number": "951-769-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 HIGHLAND SPRINGS AVENUE",
            "address_2": "BUILDING 1B",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204823",
            "telephone_number": "951-769-7191",
            "fax_number": "951-769-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "NEAL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Lynn Diaz, AMHNP-BC
• Michele Rene Diaz
• Jean T Dinh, OD
• Michelle L Dippolito, LPCC
• Scott Ditch
• Leah D. Dixson, PA-C
• Susan H Doddridge, P.A-C
• Shu Dong, N.P.
• Lynn Marie Dorrough, CAMTC #527
• Sharlene Ann Dorsey, LCSW

• Medical Physician Assistant in Banning, CA
• Providers in Banning, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.