Individual provider Active NPI

Luis Roberto Diaz, DC

  • Chiropractor
  • Santa Barbara, CA
National Provider Identifier
1154417244
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27597 Issued in CA
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

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DC027597MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 74 clinicians

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

LicenseStateTypeSpecialty
DC27597CAMDChiropractor
27597CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Central Coast Inc CurrentSince Sep 6, 2011 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Sep 6, 2011 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

  • Direct secure messaging: 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.

View all 25

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.

Verify at the official NPI Registry.