Organization Active NPI

Ronald C. Diebel, M.D. a Professional Corporation

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1467635466
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RONALD C. DIEBEL, M.D. A PROFESSIONAL CORPORATION
Practice address
251 Oconnor Dr
Suite 1
San Jose, CA 95128-1656
Phone
(408) 314-5000
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Ronald C Diebel, M.D.
Title
Physician
Phone
(408) 314-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X CA Primary
Non-Pharmacy Dispensing Site 332900000X G19786 CA

Addresses

Primary practice location

251 Oconnor Dr
Suite 1
San Jose, CA 95128-1656

Mailing address

1101 S Winchester Blvd. Ste. D-146
San Jose, CA 95128-3915
Phone (408) 314-5000

Other identifiers 1

IdentifierTypeStateIssuer
G19785OtherCAMEDICAL LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

1101 S Winchester Blvd
Ste D146
San Jose, CA 95128
Phone (408) 314-5000

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1467635466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD. STE. D-146",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283915",
            "telephone_number": "408-314-5000",
            "fax_number": "408-287-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 OCONNOR DR",
            "address_2": "SUITE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281656",
            "telephone_number": "408-314-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD C. DIEBEL, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "DIEBEL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "408-314-5000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G19786",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "G19785",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.