Dr Ethel Dijamco, MD - Medicare General Practice in Van Nuys, CA

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Dr Ethel Dijamco, MD is a medicare enrolled "General Practice" physician in Van Nuys, California. Her current practice location is 6511 Van Nuys Blvd, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at (818) 901-9090.

Dr Ethel Dijamco is licensed to practice in California (license number A48307) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780750752.

Contact Information

Dr Ethel Dijamco, MD
6511 Van Nuys Blvd,
Van Nuys, CA 91401-1425
(818) 901-9090
(818) 901-9347

Map and Direction




Physician's Profile

Full NameDr Ethel Dijamco
GenderFemale
SpecialityGeneral Practice
Location6511 Van Nuys Blvd, Van Nuys, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780750752
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8729075080
  • Enrollment ID: I20040428000871

Medical Identifiers

Medical identifiers for Dr Ethel Dijamco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780750752NPI-NPPES
00A483070MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice A48307 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ethel Dijamco allows following entities to bill medicare on her behalf.
Entity NameEl Monte Clinica Medica General Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093762593
PECOS PAC ID: 5092708560
Enrollment ID: O20040408000573
Entity NameValley Clinica Medica General, Med Ctr Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962459479
PECOS PAC ID: 9537155965
Enrollment ID: O20040421001884
Entity NameHuntington Park Clinica Medica General Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942256094
PECOS PAC ID: 0345236774
Enrollment ID: O20040421001891
Entity NameBobby Pezeshki Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164999215
PECOS PAC ID: 6608114442
Enrollment ID: O20190412000666

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ethel Dijamco is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ethel Dijamco, MD
Po Box 10432,
Beverly Hills, CA 90213-3432

Ph: (213) 637-2530		Dr Ethel Dijamco, MD
6511 Van Nuys Blvd,
Van Nuys, CA 91401-1425

Ph: (818) 901-9090

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.