Provider Demographics
NPI:1861179384
Name:DIMAPILIS, CATHERINE BAGAMASBAD (A-GNP-C)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:BAGAMASBAD
Last Name:DIMAPILIS
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Gender:F
Credentials:A-GNP-C
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Mailing Address - Street 1:3660 PARK SIERRA DR STE 203
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-3071
Mailing Address - Country:US
Mailing Address - Phone:951-687-3400
Mailing Address - Fax:951-687-7630
Practice Address - Street 1:46883 MONROE ST STE 200
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-6769
Practice Address - Country:US
Practice Address - Phone:760-254-8960
Practice Address - Fax:760-208-1802
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-08-07
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Provider Licenses
StateLicense IDTaxonomies
CA95024884363LA2200X, 363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology