CHARLOTTE DIMAYA
NPI 1295275048
Nurse Practitioner - Family in San Jose, CA

Q: What is Charlotte Dimaya's NPI number?

The NPI number for Charlotte Dimaya is 1295275048. It was assigned to this individual provider in the NPPES registry on February 27, 2017.

Q: What is Charlotte Dimaya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Charlotte Dimaya was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 27, 2017PECOS EnrolledAccepts Medicare Assignment

5504 MONTEREY HWY, SAN JOSE, CA 95138(510) 770-8040 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2021, Feb 27, 2017 (2 updates tracked since 2017).

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About Charlotte Dimaya NPPES

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

CHARLOTTE DIMAYA (NPI 1295275048) is an individual family provider in San Jose, California, licensed in California (NP95003590) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295275048

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCHARLOTTE DIMAYA

Location Address5504 MONTEREY HWYSan Jose, CA 95138-1529

Mailing Address5504 Monterey HwySan Jose, CA 95138-1529 · (510) 770-8040

Phone(510) 770-8040

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 27, 2017

Last NPPES UpdateApril 19, 20232 updates tracked since enumeration

NPPES CertifiedApril 19, 2023

✔ NPI 1295275048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95003590

Also ListedRegistered NurseTaxonomy 163W00000X · License 604846 (CA)

5504 MONTEREY HWY, San Jose, CA 95138

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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 and accepts Medicare assignment

Charlotte Dimaya is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284097676

PECOS Enrollment IDI20230901000959

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 Charlotte Dimaya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Santa Clara

4.7 mi

Federally Qualified Health Center (FQHC)

500 TULLY RD
San Jose, CA 95111

Reassigned Medicare billing, California enrollment
2,460 clinicians in this Medicare group

NPI 1376538991 (408) 885-5000

Sutter Bay Medical Foundation

24 mi

Multi-Specialty

795 EL CAMINO REAL
Palo Alto, CA 94301

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1013950807 (650) 321-4121

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

39 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95138 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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 14

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

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