Active NPI
Luis Roberto Diaz, DC
- Chiropractor
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27597
- Practice address
- 811 E Mason St
Santa Barbara, CA 93103-3314 - Phone
- (805) 965-9801
- Fax
- (805) 564-6773
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27597 | CA | Primary |
Addresses
Primary practice location
811 E Mason St
Santa Barbara, CA 93103-3314
Mailing address
811 E Mason St
Santa Barbara, CA 93103-3314
Phone (805) 965-9801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC027597 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040318001126 | CA | Practitioner - Chiropractic | 9335039734 |
Reassigns benefits to 1 organization Practice locations: Santa Barbara, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Centers of the Central Coast Inc
Practice addresses (Care Compare)
4723 W Main St
Suite H
Guadalupe, CA 93434-1787
Phone (805) 343-5577
811 E Mason St
Santa Barbara, CA 93103-3314
Phone (805) 965-9801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC27597 | CA | MD | Chiropractor |
| 27597 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Center of the Central Coast Inc | Past | Accepting new patients | |
| Santa Barbara Neighborhood Clinics | Past | Accepting new patients |
Locations
4581 10th St
Guadalupe, CA 93434
Phone (805) 343-5577
4723 W Main St
Ste H
Guadalupe, CA 93434
Phone (805) 343-2004
150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254
Interoperability endpoints
- luis.diaz.1@17363.direct.athenahealth.com
Organizations & group practices 25
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Oceano, CA
- NPI 1336166248
CA
-
- Federally Qualified Health Center (FQHC)
- Guadalupe, CA
- NPI 1376560151
-
- Federally Qualified Health Center (FQHC)
- Santa Maria, CA
- NPI 1447277355
-
- Federally Qualified Health Center (FQHC)
- Cambria, CA
- NPI 1881611705
-
- Federally Qualified Health Center (FQHC)
- Paso Robles, CA
- NPI 1003462102
-
- Federally Qualified Health Center (FQHC)
- Atascadero, CA
- NPI 1073533089
-
- Federally Qualified Health Center (FQHC)
- San Luis Obispo, CA
- NPI 1124045158
-
- Federally Qualified Health Center (FQHC)
- Santa Maria, CA
- NPI 1174859425
-
- Clinic/Center
- Santa Maria, CA
- NPI 1174911317
-
- Federally Qualified Health Center (FQHC)
- San Luis Obispo, CA
- NPI 1275553257
-
- Federally Qualified Health Center (FQHC)
- San Miguel, CA
- NPI 1295198356
-
- Federally Qualified Health Center (FQHC)
- Lompoc, CA
- NPI 1326065103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1154417244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 E MASON ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931033314",
"telephone_number": "805-965-9801",
"fax_number": "805-564-6773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 E MASON ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931033314",
"telephone_number": "805-965-9801",
"fax_number": "805-564-6773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "LUIS",
"middle_name": "ROBERTO",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC027597",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.