DR. ETHEL DIJAMCO MD
NPI 1780750752
General Practice in Van Nuys, CA

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
6511 VAN NUYS BLVD, VAN NUYS, CA 91401(818) 901-9090(818) 901-9347 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ethel Dijamco Md NPPES

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

DR. ETHEL DIJAMCO MD (NPI 1780750752) is an individual general practice provider in Van Nuys, California, licensed in California (A48307) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1780750752
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. ETHEL DIJAMCOCredential: MD
Location Address6511 VAN NUYS BLVDVan Nuys, CA 91401-1425
Mailing AddressPo Box 10432Beverly Hills, CA 90213-3432 · (213) 637-2530 · Fax (213) 384-3373
Fax(818) 901-9347
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1780750752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · A48307
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

6511 VAN NUYS BLVD, Van Nuys, CA 91401

Other Identifiers 3

Medicare ID-Type UnspecifiedWA48307APpin Number (grp W14028)
Medicaid00A483070CA
Medicare UPINH27739

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

Dr. Ethel Dijamco Md 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 ID8729075080
PECOS Enrollment IDI20040428000871
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.

Other Providers at the Same Location NPPES 6

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

Family Medicine
6511 VAN NUYS BLVD
VAN NUYS, CA 91401
Nurse Practitioner (Gerontology)
6511 VAN NUYS BLVD
VAN NUYS, CA 91401
Nurse Practitioner (Family)
6511 VAN NUYS BLVD
VAN NUYS, CA 91401
General Practice
6511 VAN NUYS BLVD
VAN NUYS, CA 91401
Clinic/Center (Adult Day Care)
6511 VAN NUYS BLVD
VAN NUYS, CA 91401
Family Medicine
6511 VAN NUYS BLVD
VAN NUYS, CA 91401

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 Ethel Dijamco's NPI number?

The NPI number for Ethel Dijamco is 1780750752. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Ethel Dijamco located?

Ethel Dijamco practices at 6511 Van Nuys Blvd, Van Nuys, CA 91401. The listed phone number is (818) 901-9090.

What is Ethel Dijamco's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ethel Dijamco enrolled in Medicare?

Yes. Ethel Dijamco 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 Ethel Dijamco was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.