Physician Compare National (NPI:1851452213)

HEALTHCARE PROVIDER: DENNIS WILLIAM DELPAINE 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	1851452213
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426247198
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120106000295
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DELPAINE
	Individual professional last name
Provider First Name	DENNIS
	Individual professional first name
Provider Middle Name	W
	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, DAVIS SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ALLERGY/IMMUNOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INTERNAL MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ALLERGY/IMMUNOLOGY, INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	5309 CARRINGTON CIR
	Group Practice or individual's line 1 address
City	STOCKTON
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	952103516
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050084
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOSEPHS MEDICAL CENTER OF STOCKTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050336
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ADVENTIST HEALTH LODI MEMORIAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050335
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ADVENTIST HEALTH SONORA
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	051332
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MARK TWAIN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	050014
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	SUTTER AMADOR HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1851452213)

HEALTHCARE PROVIDER: DENNIS WILLIAM DELPAINE MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information