Tanner Michael Diebold, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36330 Issued in CA

Practice address

2816 Adams Ave
San Diego, CA 92116-1401

Phone

(909) 767-9896

NPI assigned

May 13, 2022

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Handland Occupational Therapy PC

  • Hand Occupational Therapist
  • San Diego, CA
  • NPI 1750847950

  Single Specialty

  NPD (past)
• Soleimani Chiropractic P C

  • Chiropractor
  • San Diego, CA
  • NPI 1396291738
  NPD (past)

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1750028585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 PARK BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162644",
            "telephone_number": "909-767-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 ADAMS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161401",
            "telephone_number": "909-767-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEBOLD",
        "first_name": "TANNER",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jermaine Dictado, PSYD
• Ana Margarita Didasa
• Marina Didenko, LCSW
• Claire Didion, L.AC.
• Stephanie Diebold, M.D.
• Julia Diebolt, MA, BCBA
• Alejandra K. Diedrich, P.A.
• Bryan Dieffenbach, M.D.
• Catherine Dieffenbach, MD
• Guadalupe Diego

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.