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NPI Code Detail

MEDICARE: DR. DIXIE IMADA PH.D.

MEDICARE:  DR. DIXIE  IMADA  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistAU643CA
2237600000XAudiologist-Hearing Aid FitterHA4075CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306840186
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIXIE IMADA PH.D.
Provider Business Mailing Address
First Line : 4910 PHELPS CT
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-6208
Country : US
Telephone Number : 916-359-5244
Fax Number : 916-486-0188
Provider Business Practice Location Address
First Line : 4748 ENGLE RD
Second Line : STE 103
City : CARMICHAEL
State : CA
Zip : 95608-2232
Country : US
Telephone Number : 916-752-9996
Fax Number : 916-486-0188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 09/11/2025

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Directions to “ DR. DIXIE IMADA PH.D.” Practice Location

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