Susan Diballa, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC21298 Issued in CA

Practice address

699 Hampshire Rd
#109
Westlake Village, CA 91361-2379

Phone

(805) 497-1918

Fax

(805) 495-4946

NPI assigned

Mar 14, 2007

Last updated

Jan 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Los Angeles, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Katrina Spears Babcock DO Corporation

  • Physical Medicine & Rehabilitation Physician
  • Woodland Hills, CA
  • NPI 1669442307
  NPD (past)
• Spears Babcock DO PC

  • Physical Medicine & Rehabilitation Physician
  • Thousand Oaks, CA
  • NPI 1992481089
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1154454288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 HAMPSHIRE RD",
            "address_2": "#109",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612379",
            "telephone_number": "805-497-1918",
            "fax_number": "805-495-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 HAMPSHIRE RD",
            "address_2": "#109",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612379",
            "telephone_number": "805-497-1918",
            "fax_number": "805-495-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBALLA",
        "first_name": "SUSAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Emily Di Lucchio, D.C.
• Diagnostic Medical Services, Inc
• Diane Weiss, L.Ac
• Antonio Alberto Diaz Cooper, NP
• Antonio Diaz Sanchez
• Leah L. Dickenson, PH.D.
• Kenneth Robert Diddie, M.D.
• Diehl Chiropractic, Inc. (Maximized Life Chiropractic)
• David Diehl, D.C.
• Holly Dilger

• Chiropractor in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.