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JUANITA M DIMAS PH.D.
NPI 1316107774
Psychologist - Clinical in Oakland, CA

Active since June 10, 2008PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
4000 BROADWAY, SUITE 1, OAKLAND, CA 94611(510) 769-2937(510) 658-7533 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juanita M Dimas Ph.d. NPPES

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

JUANITA M DIMAS PH.D. (NPI 1316107774) is an individual clinical provider in Oakland, California, licensed in California (PSY16051) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1316107774
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJUANITA M DIMASCredential: PH.D.
Location Address4000 BROADWAY, SUITE 1Oakland, CA 94611-5670
Mailing Address4000 Broadway, Suite 1Oakland, CA 94611-5670 · (510) 769-2937 · Fax (510) 658-7533
Phone(510) 769-2937
Fax(510) 658-7533
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJune 10, 2008
✔ NPI 1316107774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY16051
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4000 BROADWAY, Oakland, CA 94611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juanita M Dimas Ph.d. 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 ID6800934365
PECOS Enrollment IDI20091104000148
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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.

EVE BAZO LCSW
Social Worker (Clinical)
4000 BROADWAY, SUITE 1
OAKLAND, CA 94611
Alameda County (510) 214-3788
MS. ELIZABETH M MIRANDA M.A., MFT
Marriage & Family Therapist
4000 BROADWAY, SUITE 4
OAKLAND, CA 94611
Alameda County (510) 992-3630
MS. MOSI MAYS-MIREMBE MFT
Marriage & Family Therapist
4000 BROADWAY, SUITE 3
OAKLAND, CA 94611
Alameda County (510) 301-1443
SHANNON SHERNEICE RUCKER MFT
Marriage & Family Therapist
4000 BROADWAY, SUITE #3
OAKLAND, CA 94611
Alameda County (510) 725-7450

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 Juanita Dimas's NPI number?

The NPI number for Juanita Dimas is 1316107774. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Where is Juanita Dimas located?

Juanita Dimas practices at 4000 Broadway Suite 1, Oakland, CA 94611. The listed phone number is (510) 769-2937.

What is Juanita Dimas's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Juanita Dimas enrolled in Medicare?

Yes. Juanita Dimas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Juanita Dimas was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.