Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Anthony Dimaggio Jr.

Individual provider Certified Registered Nurse Anesthetist · NPI 1457001315

Dr. Mark Anthony Dimaggio Jr. is a Certified Registered Nurse Anesthetist (CRNA) in Riverside, California. Qualified in 2021, 5 years ago. Practices with Valley Regional Anesthesia Associates Inc, a 153-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

4445 Magnolia Ave
Riverside, CA 92501-4199
Phone: (951) 788-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 135871 (CA)

Record details

NPI number1457001315
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 24, 2022
Last updated in NPPESMarch 24, 2022
Certification dateMarch 22, 2022
Mailing address5064 Myrtle Ave, Riverside, CA 92506-1423

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Valley Regional Anesthesia Associates Inc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Riverside