Physician Compare National (NPI:1821154105)

HEALTHCARE PROVIDER: JAY P DILIBERTO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1821154105
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325221799
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110325000021
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DILIBERTO
	Individual professional last name
Provider First Name	JAY
	Individual professional first name
Provider Middle Name	PETER
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GASTROENTEROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GASTROENTEROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	18800 DELAWARE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 850
	Group Practice or individual's line 2 address
City	HUNTINGTON BEACH
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	926486087
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050224
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOAG MEMORIAL HOSPITAL PRESBYTERIAN
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y