Patty Morell Diblasio, M.D.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

A123970 Issued in CA

Practice address

12 Via Paquete
San Clemente, CA 92673-6915

Phone

(949) 325-6164

Fax

(949) 649-1058

NPI assigned

Apr 22, 2009

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 16, 2020 through Mar 16, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16096/brand/2/csg/1/fhir/r4

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.

• Advanced Regen Medical Inc

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Campbell, CA
  • NPI 1922638600
  NPD
• Physio Logic Medicine, P.C.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1013293588
  NPD
• Physiologic Chiropractic & Physical Therapy, PLLC.

  • Chiropractor
  • Brooklyn, NY
  • NPI 1225262785
  NPD

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1295979144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 VIA PAQUETE",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736915",
            "telephone_number": "949-328-6164",
            "fax_number": "949-649-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 VIA PAQUETE",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736915",
            "telephone_number": "949-325-6164",
            "fax_number": "949-649-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBLASIO",
        "first_name": "PATTY",
        "middle_name": "MORELL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "A123970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Joseph Di Pietro, RPH
• Corey Diamond, DC34416
• Diana Craft DDS Inc.
• Brianna Diaz
• Mackenzie Dibartolo, APCC
• Digital Cardiac Services, Inc.
• Danielle Diola
• Katie Lee Diomartich, SLP
• Chloe Divine
• Doctor'S Choice Home Physical Therapy, Inc.

• Preventive Medicine/Occupational Environmental Medicine Physician in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.