Diane Nicole Callas

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

140053 Issued in CA

Practice address

309 E Mountain View St Ste 100
Barstow, CA 92311-2814

Phone

(760) 256-7279

NPI assigned

Jun 8, 2018

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverside-San Bernardino County Indian Health, Inc

  dba Santa Rosa Indian Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Mountain Center, CA
  • NPI 1366028086
  NPD
• Riverside-San Bernardino County Indian Health, Inc

  dba Cahuilla Indian Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Anza, CA
  • NPI 1679204325
  NPD
• Riverside-San Bernardino County Indian Health, Inc.

  dba San Manuel Indian Health

  • Federally Qualified Health Center (FQHC)
  • Grand Terrace, CA
  • NPI 1174676670
  NPD
• LSS Community Care Center

  • Community/Behavioral Health Agency
  • Barstow, CA
  • NPI 1265838023
  NPD (past)

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1760975270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E MOUNTAIN VIEW ST STE 100",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112814",
            "telephone_number": "760-256-7279",
            "fax_number": "760-256-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E MOUNTAIN VIEW ST STE 100",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112814",
            "telephone_number": "760-256-7279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17015 Lorene Dr",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923954685",
            "country_code": "US",
            "telephone_number": "818-939-8604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAS",
        "first_name": "DIANE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "140053",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Butler
• Yvonne Butticci
• Jessica Cadena
• Melissa Michell Calderon Lara
• California Em-I Medical Services, a Medical Corporation
• Gina Maria Calvillo
• Cid Joshua Camarena, MS, AMFT
• Mark Alan Campbell
• Nichole M. Caprio
• Caremd, Inc.

• Marriage & Family Therapist in Barstow, CA
• Providers in Barstow, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.