Individual provider Active NPI

David Diehl, D.C.

  • Chiropractor
  • Westlake Village, CA
National Provider Identifier
1598857575
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25686 Issued in CA
Practice address
2900 Townsgate Rd
Suite 212
Westlake Village, CA 91361-3001
Phone
(805) 496-1000
Fax
(805) 496-1011
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25686 CA Primary

Addresses

Primary practice location

2900 Townsgate Rd
Suite 212
Westlake Village, CA 91361-3001

Mailing address

2900 Townsgate Road
Suite 212
Westlake Village, CA 91361-5888
Phone (805) 496-1000

Other identifiers 2

IdentifierTypeStateIssuer
0453977MedicaidIA
36033OtherIABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140425001044 CA Practitioner - Chiropractic 2466441357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

280 N Westlake Blvd
Suite 100
Westlake Village, CA 91362-7014
Phone (805) 496-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25686CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Diehl Chiropractic, Inc. Chiropractor CurrentSince Sep 1, 2003 Accepting new patients
Park Compounding Pharmacy Past Accepting new patients

Locations

280 N Westlake Blvd
Ste 100
Westlake Village, CA 91362
Phone (805) 496-1000

2900 Townsgate Rd
Ste 212
Westlake Village, CA 91361
Phone (805) 496-1000

700 Main St
Ste 213
Pella, IA 50219
Phone (641) 628-8800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1598857575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 TOWNSGATE ROAD",
            "address_2": "SUITE 212",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615888",
            "telephone_number": "805-496-1000",
            "fax_number": "805-496-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 TOWNSGATE RD",
            "address_2": "SUITE 212",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613001",
            "telephone_number": "805-496-1000",
            "fax_number": "805-496-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0453977",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36033",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.