Individual provider Active NPI

Brittney Lee Diebold, D.O.

  • Psychiatry Physician
  • Oxnard, CA
National Provider Identifier
1699201004
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A17484 Issued in CA
Practice address
2500 S C St Ste C
Oxnard, CA 93033-4573
Phone
(805) 385-9420
Fax
(805) 385-9401
NPI assigned
May 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A17484 CA Primary

Addresses

Primary practice location

2500 S C St Ste C
Oxnard, CA 93033-4573

Mailing address

2500 S C St Ste C
Oxnard, CA 93033-4573
Phone (805) 385-9420

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230215002929 CA Practitioner - Psychiatry 0446622682 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

1911 Williams Dr
Oxnard, CA 93036-2612

2500 S C St
Suite C
Oxnard, CA 93033-4573
Phone (805) 981-5478

300 Hillmont Ave
Ventura, CA 93003-1651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
17484CAMDAcupuncturist
20A17484CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Feb 9, 2023 Accepting new patients
Bay Area Community Services, Inc. Current Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Feb 9, 2023 Accepting new patients
County of Ventura CurrentSince Oct 23, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Ventura Current Accepting new patients
County of Santa Clara CurrentSince Feb 9, 2023 Accepting new patients
Bay Area Community Services, Inc. CurrentSince Jan 9, 2023 Accepting new patients
County of Ventura CurrentSince Oct 23, 2024 Accepting new patients
Bay Area Community Services, Inc. CurrentSince Jan 9, 2023 Accepting new patients
County of Santa Clara CurrentSince Feb 9, 2023 Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

559 16th St
Oakland, CA 94612
Phone (510) 318-6112

390 40th St
Oakland, CA 94609
Phone (510) 247-8235

2500 S C St
Ste C
Oxnard, CA 93033
Phone (805) 385-9420

9333 Tech Center Dr
Ste 100
Sacramento, CA 95826
Phone (510) 779-8065

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

Interoperability endpoints

  • Direct secure messaging: bdiebold192030@santaclaravalley.direct-ci.net

Organizations & group practices 12

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1699201004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S C ST STE C",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930334573",
            "telephone_number": "805-385-9420",
            "fax_number": "805-385-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S C ST STE C",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930334573",
            "telephone_number": "805-385-9420",
            "fax_number": "805-385-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEBOLD",
        "first_name": "BRITTNEY",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A17484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.