MR. DIOSDADO PIOQUINTO DIZON JR. APRN
NPI 1114786613
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Diosdado Dizon's NPI number?

The NPI number for Diosdado Dizon is 1114786613. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Diosdado Dizon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Diosdado Dizon was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 18, 2024PECOS Enrolled

3430 E FLAMINGO RD STE 100, LAS VEGAS, NV 89121(702) 444-4690(702) 444-0977 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2025, Jun 7, 2024 (2 updates tracked since 2024).

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About Mr. Diosdado Pioquinto Dizon Jr. Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DIOSDADO PIOQUINTO DIZON JR. APRN (NPI 1114786613) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (835177) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114786613

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. DIOSDADO PIOQUINTO DIZON JR.Credential: APRN

Location Address3430 E FLAMINGO RD STE 100Las Vegas, NV 89121-5018

Mailing Address3430 E Flamingo Rd Ste 100Las Vegas, NV 89121-5018 · (702) 444-4690 · Fax (702) 444-0977

Phone(702) 444-4690

Fax(702) 444-0977

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 18, 2024

Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration

NPPES CertifiedAugust 14, 2025

✔ NPI 1114786613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NV · 835177

3430 E FLAMINGO RD STE 100, Las Vegas, NV 89121

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Diosdado Pioquinto Dizon Jr. Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759829914

PECOS Enrollment IDI20240819003129

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Diosdado Dizon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Behavioral Health And Healing LLC

2.0 mi

Psychiatric/Mental Health

3430 E RUSSELL RD STE 308
Las Vegas, NV 89120

Reassigned Medicare billing, Nevada enrollment

NPI 1366397770 (734) 715-4060

Mobileonedocs, LLC

5.7 mi

Geriatric Medicine

8565 S EASTERN AVE STE 150
Las Vegas, NV 89123

Reassigned Medicare billing, Nevada enrollment
5 clinicians in this Medicare group

NPI 1063018729 (888) 709-8721

Eugene Rosenman, MD Ltd

7.2 mi

Psychiatry

2740 S JONES BLVD
Las Vegas, NV 89146

Reassigned Medicare billing, Nevada enrollment
21 clinicians in this Medicare group

NPI 1265568703 (702) 248-8866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RF RAMIREZ LLC

Nurse Practitioner

3430 E FLAMINGO RD STE 100
LAS VEGAS, NV 89121

Clark County (702) 444-4690

MS. RUTH F RAMIREZ APRN

Nurse Practitioner (Adult Health)

3430 E FLAMINGO RD STE 100
LAS VEGAS, NV 89121

Clark County (702) 444-4690

MS. OLUYEMISI OLAYINKA ADEDOTUN APRN

Nurse Practitioner

3430 E FLAMINGO RD STE 100
LAS VEGAS, NV 89121

Clark County (702) 444-4690

OLUYEMISI OLAYINKA ADEDOTUN

Clinic/Center (Adult Mental Health)

3430 E FLAMINGO RD STE 100
LAS VEGAS, NV 89121

Clark County (702) 444-4690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diosdado Dizon's NPI number?

The NPI number for Diosdado Dizon is 1114786613. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Diosdado Dizon located?

Diosdado Dizon practices at 3430 E Flamingo Rd Ste 100, Las Vegas, NV 89121. The listed phone number is (702) 444-4690.

What is Diosdado Dizon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Diosdado Dizon enrolled in Medicare?

Yes. Diosdado Dizon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Diosdado Dizon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diosdado Dizon reassigns Medicare benefits to 3 organizations: Behavioral Health And Healing LLC (Las Vegas, NV), Mobileonedocs, LLC (Las Vegas, NV) and Eugene Rosenman, MD Ltd (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diosdado Dizon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diosdado Dizon was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.