JDMD CLINICS, APC
NPI 1124640776
Clinic/Center in Ontario, CA

Active since May 16, 2020
3333 CONCOURS STE 4200, ONTARIO, CA 91764(909) 287-7474(909) 287-7470 Get Directions Write a Review

NPPES record last updated: May 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jdmd Clinics, Apc NPPES

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

JDMD CLINICS, APC (NPI 1124640776) is a healthcare organization registered as a clinic/center in Ontario, California and active in the NPI registry since May 2020. The organization lists John Dimowo, President, as its authorized official.

NPPES Registry Identity

NPI1124640776
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJDMD CLINICS, APC
Location Address3333 CONCOURS STE 4200Ontario, CA 91764-6547
Mailing Address3333 Concours Ste 4200Ontario, CA 91764-6547 · (909) 287-7474 · Fax (909) 287-7470
Fax(909) 287-7470
Organization SubpartNo
Authorized OfficialJohn DimowoPresident · (909) 287-7474
Enumeration DateMay 16, 2020
NPPES CertifiedMay 16, 2020
✔ NPI 1124640776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3333 CONCOURS STE 4200, Ontario, CA 91764

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jdmd Clinics, Apc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jdmd Clinics, Apc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anesthesiology
NPI 1639246754
11930 VISTA DEL SOL DR STE.B
El Paso, TX 79936
(915) 430-3439
✔ PECOS✔ Accepts Medicare675 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2197096

Jdmd Clinics, Apc · Ontario, CA
Expired · Oct 20, 2026
CLIA Number05D2197096
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorJohn Dimowo
Laboratory Phone(909) 287-7230
Laboratory LocationJdmd Clinics, Apc3333 Concours Street Suite 4200, Ontario, CA 91764
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Jdmd Clinics, Apc's NPI number?

The NPI number for Jdmd Clinics, Apc is 1124640776. It was assigned to this organization in the NPPES registry on May 16, 2020.

Where is Jdmd Clinics, Apc located?

Jdmd Clinics, Apc is located at 3333 Concours Ste 4200, Ontario, CA 91764. The listed phone number is (909) 287-7474.

What is Jdmd Clinics, Apc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Jdmd Clinics, Apc enrolled in Medicare?

Yes. Jdmd Clinics, Apc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jdmd Clinics, Apc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Jdmd Clinics, Apc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jdmd Clinics, Apc was last updated on May 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.