KENNETH P DIZON D.O INC
NPI 1154839561
Internal Medicine - Cardiovascular Disease in Barstow, CA

Q: What is Kenneth P Dizon D.O Inc's NPI number?

The NPI number for Kenneth P Dizon D.O Inc is 1154839561. It was assigned to this organization in the NPPES registry on January 19, 2018.

Q: What is Kenneth P Dizon D.O Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since January 19, 2018

930 W MAIN ST, BARSTOW, CA 92311(760) 256-1004(760) 256-1055 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jan 19, 2018 (2 updates tracked since 2018).

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About Kenneth P Dizon D.o Inc NPPES

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

KENNETH P DIZON D.O INC (NPI 1154839561) is a healthcare organization registered as a cardiovascular disease in Barstow, California and active in the NPI registry since January 2018. The organization maintains a secondary practice location in Barstow and lists Kenneth P Dizon, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1154839561

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameKENNETH P DIZON D.O INC

Location Address930 W MAIN STBarstow, CA 92311-2654

Mailing Address930 W Main StBarstow, CA 92311-2654 · (760) 256-1004 · Fax (760) 256-1055

Phone(760) 256-1004

Fax(760) 256-1055

Organization SubpartNo

Authorized OfficialKenneth P DizonCeo/president · (760) 256-1004

Enumeration DateJanuary 19, 2018

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1154839561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CA · 20A15716

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

930 W MAIN ST, Barstow, CA 92311

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Secondary Practice Location 1

Location 1121 S 7th AveBarstow, CA 92311-3058 · Phone (760) 256-1004 · Fax (760) 256-1055

Other Identifiers 1

Other930CA · Personal

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

OMAR SHAHBAZ MD

Clinic/Center (Medical Specialty)