Individual provider Active NPI

Colin Porus Dias, M.D.

  • Psychiatry Physician
  • Agoura Hills, CA
National Provider Identifier
1811029168
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A84321 Issued in CA
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

Updated by the provider on Dec 21, 2021

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 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 Professional name

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
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

LicenseStateTypeSpecialty
A84321CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Valley Community Mental Health Center Psychiatry CurrentSince Jun 7, 2019 Accepting new patients
Central City Community Health Center Inc CurrentSince Feb 25, 2025 Accepting new patients
Gateways Hospital & Mental Health Center CurrentSince Nov 1, 2020 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 CurrentSince Jul 1, 2018 Accepting new patients
Central City Community Health Center Inc CurrentSince Feb 25, 2025 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.

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

Verify at the official NPI Registry.