Active NPI
Santa Lucia Birth Center, Inc.
- Birthing Clinic/Center
- San Luis Obispo, CA
National Provider Identifier
1063713477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.