DR. THERESE NICOLE ANTONIO DINOSO DO
NPI 1376239681
Student in an Organized Health Care Education/Training Program in La Jolla, CA

Q: What is Therese Nicole Dinoso's NPI number?

The NPI number for Therese Nicole Dinoso is 1376239681. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Q: What is Therese Nicole Dinoso's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 11, 2023PECOS Enrolled

10666 N TORREY PINES RD, LA JOLLA, CA 92037(858) 554-3200 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Therese Nicole Antonio Dinoso Do NPPES

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

DR. THERESE NICOLE ANTONIO DINOSO DO (NPI 1376239681) is an individual student in an organized health care education/training program in La Jolla, California and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2023).

NPPES Registry Identity

NPI1376239681

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. THERESE NICOLE ANTONIO DINOSOCredential: DO

Location Address10666 N TORREY PINES RDLa Jolla, CA 92037-1027

Mailing Address10790 Rancho Bernardo Rd # 4s-205San Diego, CA 92127-5705 · (858) 554-3200

Phone(858) 554-3200

Sole ProprietorNo

Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2023

Enumeration DateApril 11, 2023

NPPES CertifiedApril 11, 2023

✔ NPI 1376239681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10666 N TORREY PINES RD, La Jolla, CA 92037

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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)

Dr. Therese Nicole Antonio Dinoso Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860974177

PECOS Enrollment IDI20260305002419

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 Reassignment

Medicare enrollment records show Therese Nicole Dinoso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Diego Critical Care Medical Group, Inc

15 mi

Internal Medicine

2732 NAVAJO RD STE 202A
El Cajon, CA 92020

Reassigned Medicare billing, California enrollment
87 clinicians in this Medicare group

NPI 1609915990 (619) 461-1920

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

Other Providers at the Same Location NPPES 20

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

MRS. SUSAN ELIZABETH MCKIM PA-C

Physician Assistant (Medical)