Individual provider Active NPI

Tammy M Diceglie, D.C.

  • Chiropractor
  • Fresno, CA
National Provider Identifier
1972677011
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20954 Issued in CA
Practice address
1305 W Bullard Ave Ste 3
Fresno, CA 93711-2469
Phone
(559) 226-2185
Fax
(559) 225-2952
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 20954 CA Primary

Addresses

Primary practice location

1305 W Bullard Ave Ste 3
Fresno, CA 93711-2469

Mailing address

1305 W Bullard Ave Ste 3
Fresno, CA 93711-2469
Phone (559) 226-2185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314001146 CA Practitioner - Chiropractic 3678528544 Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1305 W Bullard Ave
Suite 3
Fresno, CA 93711-2469
Phone (559) 226-2185

1640 W Shaw Ave
Suite 107
Fresno, CA 93711-3506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1972677011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W BULLARD AVE STE 3",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112469",
            "telephone_number": "559-226-2185",
            "fax_number": "559-225-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W BULLARD AVE STE 3",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112469",
            "telephone_number": "559-226-2185",
            "fax_number": "559-225-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICEGLIE",
        "first_name": "TAMMY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.