Individual provider Active NPI

Robin Scott Dibiase, NP

  • Nurse Practitioner
  • San Luis Obispo, CA
National Provider Identifier
1255915716
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95017297 Issued in CA
Practice address
715 Tank Farm Rd Ste C
San Luis Obispo, CA 93401-7068
Phone
(805) 543-5577
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95017297 CA Primary

Addresses

Primary practice location

715 Tank Farm Rd Ste C
San Luis Obispo, CA 93401-7068

Mailing address

715 Tank Farm Rd Ste C
San Luis Obispo, CA 93401-7068
Phone (805) 543-5577

Other names 1

  • Robin Louise Scott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210621002089 CA Practitioner - Nurse Practitioner 3971903428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

715 Tank Farm Rd
Suite C
San Luis Obispo, CA 93401-7068
Phone (805) 543-5577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers CurrentSince Aug 1, 2021 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Aug 1, 2021 Accepting new patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

715 Tank Farm Rd
Ste C
San Luis Obispo, CA 93401
Phone (805) 543-5577

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

1414 E Main St
Ste 201
Santa Maria, CA 93454
Phone (805) 739-3112

1325 E Church St
Ste 202
Santa Maria, CA 93454
Phone (805) 346-3456

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1255915716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 TANK FARM RD STE C",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017068",
            "telephone_number": "805-543-5577",
            "fax_number": "805-595-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 TANK FARM RD STE C",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017068",
            "telephone_number": "805-543-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBIASE",
        "first_name": "ROBIN",
        "middle_name": "SCOTT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "SCOTT",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.