Kristine Grace Lee Dizon (NPI# 1336649060, PAC ID# 9436495173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336649060 |
| PAC ID by PECOS | 9436495173 |
| Professional Enrollment ID | I20190116003172 |
| Full Name | Kristine Grace Lee Dizon |
| Organization Legal Name | RADHIKA TULPULE MD INC |
| Address |
110 N 4th Ave Convina CA 91723-1825 |
| Phone Number | 6268596400 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668480799 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050382 | CITRUS VALLEY MEDICAL CENTER-IC CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 110 N 4th Ave, Convina, CA 91723-1825 | 6268596400 | RADHIKA TULPULE MD INC |
| Organization Legal Name | RADHIKA TULPULE MD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Radhika Tulpule | Internal Medicine | Radhika Tulpule Md Inc | 110 N 4th Ave, Convina, CA 91723-1825 |
| Street Address |
110 N 4TH AVE |
| City | CONVINA |
| State | CA |
| Zip | 91723-1825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Lynn Gargan | Nurse Practitioner | County of Washtenaw | 110 N 4th Ave, Washtenaw County Community Mental Health, Ann Arbor, MI 48104-5503 |
| Leah Husby | Nurse Practitioner | County of Washtenaw | 110 N 4th Ave, Washtenaw County Community Mental Health, Ann Arbor, MI 48104-5503 |
| Timothy D Florence | Psychiatry | County of Washtenaw | 110 N 4th Ave, Washtenaw County Community Mental Health, Ann Arbor, MI 48104-5503 |
| Michelle C Shauger | Psychiatry | County of Washtenaw | 110 N 4th Ave, Washtenaw County Community Mental Health, Ann Arbor, MI 48104-5503 |
| Radhika Tulpule | Internal Medicine | Radhika Tulpule Md Inc | 110 N 4th Ave, Convina, CA 91723-1825 |
| Welton C Washington Jr. | Psychiatry | County of Washtenaw | 110 N 4th Ave, Washtenaw County Community Mental Health, Ann Arbor, MI 48104-5503 |
| Daniel J Healy | Psychiatry | County of Washtenaw | 110 N 4th Ave, Washtenaw County Community Mental Health, Ann Arbor, MI 48104-5503 |
| Judith R Gentz | Nurse Practitioner | County of Washtenaw | 110 N 4th Ave, Washtenaw County Community Mental Health, Ann Arbor, MI 48104-5503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madhu Sudan | Internal Medicine | 530 W Badillo St A, Covina, CA 91723 | |
| Paul S Usborne | Family Medicine | 256 W San Bernardino Rd, Covina, CA 91723-1515 | |
| William F Pfisterer | Interventional Radiology | Glendora Radiological Assoc Inc | 210 W San Bernardino Rd, Covina, CA 91723-1515 |
| David J Underwood | Diagnostic Radiology | Glendora Radiological Assoc Inc | 210 W San Bernardino Rd, Covina, CA 91723-1515 |
| Timothy Bell | Diagnostic Radiology | Glendora Radiological Assoc Inc | 210 W San Bernardino Rd, Covina, CA 91723-1515 |
| Uri M Zisblatt | Radiation Oncology | 210 W San Bernardino Rd, Covina, CA 91723-1515 | |
| Steven A Floum | Internal Medicine | 210 W San Bernardino Rd, Citrus Valley Medical Center Interc, Covina, CA 91723-1515 | |
| Agustinus S Suhardja | Diagnostic Radiology | Glendora Radiological Assoc Inc | 210 W San Bernardino Rd, Covina, CA 91723-1515 |
| Sergio A Hernandez | Emergency Medicine | Cep America - California | 210 W San Bernardino Rd, Covina, CA 91723-1515 |
| Nabil A Yassa | Diagnostic Radiology | Glendora Radiological Assoc Inc | 210 W San Bernardino Rd, Covina, CA 91723-1515 |
| Find all physicians in zip 91723 | |||
| City | CONVINA |
| Zip Code | 91723 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONVINA + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.