Diesfeld & Pattamakom Obstetrics and Gynecology Medical Group

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G48770 Issued in CA

Legal business name

DIESFELD & PATTAMAKOM OBSTETRICS AND GYNECOLOGY MEDICAL GROUP

Practice address

168 N Brent St Ste 407
Ventura, CA 93003-2824

Phone

(805) 648-2717

Fax

(805) 648-2023

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Patrick W Diesfeld, M.D.

Title

Owner

Phone

(805) 648-2717

Specialties & licenses 1

Addresses

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750470993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 407",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032824",
            "telephone_number": "805-648-2717",
            "fax_number": "805-648-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 407",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032824",
            "telephone_number": "805-648-2717",
            "fax_number": "805-648-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIESFELD & PATTAMAKOM OBSTETRICS AND GYNECOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIESFELD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-648-2717",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G48770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Dibenedetto
• Dorcas Dickson-Gregory, LPT
• Sheryl Dickstein, M.D.
• Dorothy Deborah Diehl, MFT
• Nathan Diekmann, RN
• Estela Diesfeld, MD
• Gerard Diesfeld
• Patrick Diesfeld, M.D.
• Dietz Regenerative Health Corporation
• Austin Dillon III, RN

• Obstetrics & Gynecology Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.