Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristine Grace Lee Dizon, FNP-C

Individual provider Family Nurse Practitioner · NPI 1336649060

Kristine Grace Lee Dizon, FNP-C is a Nurse Practitioner in Covina, California. Qualified in 2017, 9 years ago. Practices with Radhika Tulpule MD Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

110 N 4th Ave
Covina, CA 91723-1825
Phone: (626) 859-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95007409 (CA)

Record details

NPI number1336649060
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedFebruary 19, 2018
Last updated in NPPESFebruary 19, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Radhika Tulpule Md Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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