Organization Active NPI

Santa Lucia Birth Center, Inc.

  • Birthing Clinic/Center
  • San Luis Obispo, CA
National Provider Identifier
1063713477
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
SANTA LUCIA BIRTH CENTER, INC.
Practice address
4251 S Higuera St
Suite 300
San Luis Obispo, CA 93401-7700
Phone
(805) 548-0606
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tiffany Lee Dietrich, ND, LM
Title
Owner/President
Phone
(805) 548-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

4251 S Higuera St
Suite 300
San Luis Obispo, CA 93401-7700

Mailing address

4251 S Higuera St
Suite 300
San Luis Obispo, CA 93401-7700
Phone (805) 548-0606

National Provider Directory

National Provider Directory

Locations

4251 S Higuera St
Ste 300
San Luis Obispo, CA 93401
Phone (805) 548-0606

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1063713477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 S HIGUERA ST",
            "address_2": "SUITE 300",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017700",
            "telephone_number": "805-548-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 S HIGUERA ST",
            "address_2": "SUITE 300",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017700",
            "telephone_number": "805-548-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA LUCIA BIRTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "805-548-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.