DINO A. IMPERIAL (DO) – Family Medicine Physician, NPI 1003964057

DINO A. IMPERIAL (DO) is a healthcare provider. based in Anaheim, California. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 20A6714 (CA). The NPI Number for DINO A. IMPERIAL (DO) is 1003964057

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DINO A. IMPERIAL (DO)
NPI
1003964057
Phone
(888) 988-2800
Address
441 N LAKEVIEW AVE
Enumeration Date
8 January 2007
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
WESTERN ECLECTIC COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
7142796088
Graduation Year
1994 (32 years ago)
PAC ID
7719018878
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20100706000662
Address ID
CA928072075AN5475XAVEX500

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

13,190 FAMILY PRACTICE in CA

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Provider Addresses for DINO A. IMPERIAL (DO)

  • Lakeview Avenue, Peralta Hills, Anaheim, Orange County, California, 92807, United States

    ANAHEIM, CA 928073028

    Phone: (888) 988-2800

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100706000662IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92807)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineCA
U R O L O G YOH
O T O L A R Y N G O L O G YCA
Nurse PractitionerCA
Internal MedicineCA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
-CA
Hospitalist, Infectious DiseaseCA
-CA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DINO A. IMPERIAL (DO) have a public NPI I can cite?
Public records show DINO A. IMPERIAL (DO) under NPI 1003964057.
Is DINO A. IMPERIAL (DO)'s NPI status active today?
Active status means DINO A. IMPERIAL (DO)'s NPI record is not deactivated in the public file.
How should patients interpret DINO A. IMPERIAL (DO)'s specialty?
The extract shows Family Medicine Physician for DINO A. IMPERIAL (DO). Clinical services aligned with this taxonomy classification.
What city is tied to DINO A. IMPERIAL (DO)?
The directory associates DINO A. IMPERIAL (DO) with Anaheim, California. Check all listed addresses for suites or satellite offices.
Why is information missing for DINO A. IMPERIAL (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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