What is Ethan Dizon's NPI number?

Ethan Dizon's National Provider Identifier (NPI) is 1245162460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Dizon's specialty?

Ethan Dizon is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Ethan Dizon located?

Ethan Dizon's practice location on file with NPPES is 41550 Eclectic St, Palm Desert, CA 92260-1967.

What is Ethan Dizon's phone number?

The practice phone number listed in the NPPES registry for Ethan Dizon is (760) 299-5181.

Is Ethan Dizon's NPI active?

Yes — Ethan Dizon's NPI (1245162460) is active in the NPPES registry as of the last update on 2026-06-01.

IndividualActive

Ethan Dizon

NPI 1245162460 · Community Health Worker · Palm Desert, CA

Ethan Dizon is a Community Health Worker provider in Palm Desert, CA (NPI 1245162460).

Provider details

NPI number: 1245162460
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Basic profile(46/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

41550 Eclectic St

Palm Desert, CA 92260-1967

Phone: (760) 299-5181

Fax: (877) 214-4220

Street-level locationGet directions

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Mailing address