DR. DAVID P. DIMMOCK (NPI# 1275796419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275796419 |
| Entity Type | Individual |
| Full Name | DR. DAVID P. DIMMOCK |
| Credential | M.D. |
| Practice Address |
3030 Childrens Way San Diego CA 92123-4232 |
| Practice Telephone | 8007889029 |
| Practice Fax Number | 8589668092 |
| Mailing Telephone | 8007889029 |
| Mailing Fax Number | 8589668092 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2018-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
C146669 | CA | Allopathic & Osteopathic Physicians |
| Y | 207SG0202X |
Medical Genetics Specialization: Clinical Biochemical Genetics |
C146669 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | C146669 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1275796419 | 05 |
| Street Address |
3030 CHILDRENS WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144229600 | Charles Douglas Wallace | Orthopaedic Surgery | 3030 Childrens Way, Ste 410, San Diego, CA 92123-4232 | 2005-07-18 |
| 1841808854 | Lorri A. Kais | Clinical Neuropsychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-07-15 |
| 1114541760 | Samantha Barbara Nigrelli | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-05-29 |
| 1134755630 | Sara J. Fligelman | Psychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-03-16 |
| 1316571367 | Kayleigh M. Prowse | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-02-28 |
| 1639649239 | Kimberly Charlotte Padilla | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123 | 2018-11-27 |
| 1568953172 | Elizabeth Williams Smith | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2018-05-21 |
| 1083132260 | Eve U. Nguyen | Psychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2017-09-07 |
| 1659893295 | Ronak Rahmanian | Otolaryngology | 3030 Childrens Way, San Diego, CA 92123-4232 | 2017-07-14 |
| 1689048530 | Carie Truong Lam | Physician Assistant | 3030 Childrens Way, San Diego, CA 92123-4232 | 2015-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 207SG0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Biochemical Genetics |
| A clinical biochemical geneticist demonstrates competence in performing and interpreting biochemical analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902187859 | Annette Syvia Joy Feigenbaum | Medical Genetics | 7910 Frost St, Ste 200, San Diego, CA 92123-2771 | 2011-09-06 |
| 1275690877 | Children's Specialists of San Diego - Div of Gen | Medical Genetics | 8110 Birmingham Way, Building 28, San Diego, CA 92123-2758 | 2007-01-02 |
| 1477624237 | Bruce Allen Barshop | Medical Genetics | 7910 Frost St, Ste 200, San Diego, CA 92123-2771 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003342262 | Mint Services | Medical Genetics | 12183 Victory Blvd, North Hollywood, CA 91606 | 2017-05-10 |
| 1720217292 | Michael Melvin Kaback | Medical Genetics | 4347 Vista De La Tierra, Del Mar, CA 92014-4106 | 2009-07-06 |
| 1396088225 | Children's Hospital of Orange County | Medical Genetics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-03-28 |
| 1265673743 | Pediatric Subspecialty Faculty, Inc. | Medical Genetics | 455 S Main St, Orange, CA 92868-3835 | 2009-03-13 |
| 1154515963 | Divya Vats | Medical Genetics | 4650 W Sunset Blvd, Mail Stop # 90, Los Angeles, CA 90027-6062 | 2007-09-05 |
| 1629132378 | Jerry Allan Schneider | Medical Genetics | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2006-12-20 |
| 1154428027 | Jose E. Abdenur | Medical Genetics | 455 S Main St, Psf Metabolic, Orange, CA 92868-3835 | 2006-09-20 |
Please comment or provide details below to improve the information on DR. DAVID P. DIMMOCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.