DR. ETHEL DIJAMCO MD
NPI 1780750752
General Practice in Van Nuys, CA
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
Specialties & Licenses
Other Identifiers 3
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Ethel Dijamco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
El Monte, CA 91731
- Reassigned Medicare billing, California enrollment
- 30 clinicians in this Medicare group
Canoga Park, CA 91303
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VAN NUYS, CA 91401
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.
Which organizations bill Medicare for Ethel Dijamco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethel Dijamco reassigns Medicare benefits to 2 organizations: El Monte Clinica Medica General Medical Center, Inc (El Monte, CA) and Roy Medical Group, Inc. (Canoga Park, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethel Dijamco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ethel Dijamco was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Ethel Dijamco, MD · NPI 1780750752
General Practice physician in Van Nuys, California. Individual provider, active in the CMS NPPES registry since November 28, 2006.
## Identity
- **NPI:** 1780750752 (Entity type: Individual)
- **Enumerated:** November 28, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** A48307 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6511 VAN NUYS BLVD, Van Nuys, CA 91401-1425
- **Phone:** (818) 901-9090 · **Fax:** (818) 901-9347
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): El Monte Clinica Medica General Medical Center, Inc (NPI 1093762593, El Monte, CA); Roy Medical Group, Inc. (NPI 1801921952, Canoga Park, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1979
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicare ID-Type Unspecified WA48307A; Medicaid 00A483070 (CA); Medicare UPIN H27739
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Source: [NPI Profile](https://npiprofile.com/npi/1780750752) · Data from the CMS NPPES public registry.