DR. DAVID P. DIMMOCK M.D. NPI 1275796419

NPI Information

NPI: 1275796419
Provider Name: DR. DAVID P. DIMMOCK, M.D.
Classification: Medical Genetics - 207SG0202X
Specialization: Clinical Biochemical Genetics
Entity Type: Individual
PECOS Registration: Yes
Address: 3030 CHILDRENS WAY
SAN DIEGO, CA
ZIP 92123
Phone: (800) 788-9029

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NPI Details

DR. David P. Dimmock, M.D. is a clinical biochemical genetics medical genetics in San Diego, CA with 28 years of experience. The provider is a clinical biochemical geneticist demonstrates competence in performing and interpreting biochemical analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. DR. David P. Dimmock, M.D. NPI is 1275796419. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3030 CHILDRENS WAY
SAN DIEGO, CA
ZIP 92123-232
Phone: (800) 788-9029
Fax: (858) 966-8092

The NPI 1275796419 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/8/2008 and was last updated on 7/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	C146669	CALIFORNIA	No
2	208000000X	Pediatrics		C146669	CALIFORNIA	No
3	207SG0202X	Medical Genetics	Clinical Biochemical Genetics	C146669	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1275796419	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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