Active NPI
Colin Porus Dias, M.D.
- Psychiatry Physician
- Agoura Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A84321
- Practice address
- 30101 Agoura CT Ste 100
Agoura Hills, CA 91301-4301 - Phone
- (818) 879-9018
- Fax
- (818) 879-9013
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A84321 | CA | Primary |
Addresses
Primary practice location
30101 Agoura CT Ste 100
Agoura Hills, CA 91301-4301
Mailing address
30101 Agoura CT Ste 100
Agoura Hills, CA 91301-4301
Phone (818) 879-9018
Other names 1
- Colin P. Dias
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080222000248 | CA | Practitioner - Psychiatry | 2466536990 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Howard University College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
30101 Agoura CT
Suite 100
Agoura Hills, CA 91301-4301
Phone (818) 879-9018
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84321 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Fernando Valley Community Mental Health Center | Psychiatry | Current | Accepting new patients |
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Gateways Hospital & Mental Health Center | Current | Accepting new patients | |
| Central City Community Health Center Inc | Current | Accepting new patients | |
| CPS Consultants PC | Psychiatry | Current | Accepting new patients |
| KLC Consultants, PC | Psychiatry | Current | Accepting new patients |
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Union Ave Elementary School | Past | Accepting new patients |
Locations
30101 Agoura Ct
Ste 100
Agoura Hills, CA 91301
Phone (818) 879-9018
1245 W 6th St
Ste 104
Corona, CA 92882
1891 Effie St
Los Angeles, CA 90026
2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019
1860 Hamner Ave
Norco, CA 92860
Phone (951) 479-0070
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
14545 Sherman Cir
Van Nuys, CA 91405
Phone (818) 901-4854
14600 Sherman Way
Ste 100D
Van Nuys, CA 91405
Phone (818) 901-4854
16360 Roscoe Blvd
Ste 200
Van Nuys, CA 91406
Phone (818) 815-7951
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1235283094
CA
-
- Psychiatry Physician
- Van Nuys, CA
- NPI 1164427316
CA, Psychiatry
-
- Federally Qualified Health Center (FQHC)
- Norco, CA
- NPI 1033488416
-
- Federally Qualified Health Center (FQHC)
- Upland, CA
- NPI 1174996318
-
- Local Education Agency (LEA)
- Los Angeles, CA
- NPI 1609307925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1811029168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30101 AGOURA CT STE 100",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913014301",
"telephone_number": "818-879-9018",
"fax_number": "818-879-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30101 AGOURA CT STE 100",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913014301",
"telephone_number": "818-879-9018",
"fax_number": "818-879-9013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAS",
"first_name": "COLIN",
"middle_name": "PORUS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A84321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLIN",
"last_name": "DIAS",
"middle_name": "P.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.
- 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.