Donna Bourgeois Diaz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 33757 Issued in CA

Practice address

4030 Birch St Ste 107
Newport Beach, CA 92660-2291

Phone

(949) 752-5533

Fax

(949) 752-5532

NPI assigned

Jan 25, 2017

Last updated

Jan 25, 2017By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

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.

• KT Health Management Service LLC

  dba Alamo Heights Chiropractic Health Center

  • Chiropractor
  • San Antonio, TX
  • NPI 1972204915
  NPD
• Jordan Johnson Chiropractic Inc.

  • Chiropractor
  • Newport Beach, CA
  • NPI 1518382894
  NPD (past)
• Lifespring Chiropractic Inc

  • Chiropractor
  • Newport Beach, CA
  • NPI 1164557476
  NPD (past)

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1851838114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CECIL PL APT B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926276719",
            "telephone_number": "337-967-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 BIRCH ST STE 107",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602291",
            "telephone_number": "949-752-5533",
            "fax_number": "949-752-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DONNA",
        "middle_name": "BOURGEOIS",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 33757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DHST, Incorporated
• David Di Sano, LMFT
• Diane Koch RPT Inc
• Cristina Jacqueline Diaz Gonzalez, LMFT164766
• Ahtziri Diaz
• Lisa Marie Diaz, M.D.
• Lizbeth B Diaz
• Mary Jane Diaz
• Nicole Diaz, LCSW
• Pedro Castello Diaz

• Chiropractor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.