| Diaso Chiropractic Professional Corporation | |
|
4070 West St, Cambria, CA 93428 | |
| (805) 927-1055 | |
| (805) 927-1701 |
| Full Name | Diaso Chiropractic Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4070 West St, Cambria, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922242973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | 17464 (California) | Primary |
| Provider Name | Ronald J Diaso |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346251055 PECOS PAC ID: 5496705378 Enrollment ID: I20050128000537 |
| Provider Name | Joel Correa |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033130620 PECOS PAC ID: 5698701191 Enrollment ID: I20050715000738 |
| Provider Name | Lillian W Metteer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710176490 PECOS PAC ID: 2961421375 Enrollment ID: I20051115000783 |
| Provider Name | Kenneth I Bariel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063501229 PECOS PAC ID: 9335230929 Enrollment ID: I20070810000769 |
| Provider Name | Mark K Anthony |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619063575 PECOS PAC ID: 2466539622 Enrollment ID: I20080411000486 |
| Provider Name | Tiffany C Mccain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649445743 PECOS PAC ID: 2860544517 Enrollment ID: I20100108000371 |
| Provider Name | Jennifer M Metzler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760719025 PECOS PAC ID: 7214078500 Enrollment ID: I20100108000440 |
| Provider Name | Daniel De La Rosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700909355 PECOS PAC ID: 9335320696 Enrollment ID: I20110221000580 |
| Provider Name | Bradley A Pruett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720149545 PECOS PAC ID: 4587826193 Enrollment ID: I20120427000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Diaso Chiropractic Professional Corporation 4844 N 1st St Ste 102, Fresno, CA 93726-0529 Ph: (559) 225-1796 | Diaso Chiropractic Professional Corporation 4070 West St, Cambria, CA 93428 Ph: (805) 927-1055 |
Azevedo Chiropractic, A Professional Corporation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4070 West St, Cambria, CA 93428 Phone: 805-927-1055 Fax: 805-927-1701 | |
Dr. Gary Stewart Spunt, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2515 Main St, Cambria, CA 93428 Phone: 805-927-5292 Fax: 805-927-0354 | |
Dr. Kirk Joseph Azevedo, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4070 West St, Cambria, CA 93428 Phone: 805-927-1055 Fax: 805-927-1701 | |
David Van Dyke Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 1241 Knollwood Dr, Suite 201b, Cambria, CA 93428 Phone: 805-937-8631 |