Healthcare Provider Details

I. General information

NPI: 1518580356
Provider Name (Legal Business Name): THOMAS DIPALMA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2020
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 CAMPUS DR
ARVIN CA
93203-1047
US

IV. Provider business mailing address

6333 CANOGA AVE APT 117
WOODLAND HILLS CA
91367-7709
US

V. Phone/Fax

Practice location:
  • Phone: 661-854-4475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number1920
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: