Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DIETZ REGENERATIVE HEALTH CORPORATION
NPI 1174402010
General Practice in Ventura, CA

Active since August 27, 2025
3717 TELEGRAPH RD, VENTURA, CA 93003(805) 586-2068(805) 504-1160 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2026, Dec 23, 2025, Dec 17, 2025 (3 updates tracked since 2025).

About Dietz Regenerative Health Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIETZ REGENERATIVE HEALTH CORPORATION (NPI 1174402010), doing business as Stoked Regenerative Health, is a healthcare organization registered as a general practice in Ventura, California and active in the NPI registry since August 2025. The organization lists Robin Lloyd Dietz, Owner, as its authorized official.

NPPES Registry Identity

NPI1174402010
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDIETZ REGENERATIVE HEALTH CORPORATION
Location Address3717 TELEGRAPH RDVentura, CA 93003-3420
Mailing Address3717 Telegraph RdVentura, CA 93003-3420 · (805) 586-2068 · Fax (805) 504-1160
Fax(805) 504-1160
Organization SubpartNo
Authorized OfficialRobin Lloyd DietzOwner · (805) 603-1549
Enumeration DateAugust 27, 2025
Last NPPES UpdateOctober 9, 20263 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1174402010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3717 TELEGRAPH RD, Ventura, CA 93003

Other Names 2

Doing Business AsStoked Regenerative Health
Doing Business AsVentura Wound Care

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dietz Regenerative Health Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Dietz Regenerative Health Corporation, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1104537869
2617 EXPLORER CV
Port Hueneme, CA 93041
(918) 703-0624
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1235779075
2475 VENTURA BLVD
Camarillo, CA 93010
(805) 991-0202
✔ PECOS13 mi
Nurse Practitioner
NPI 1720952880
2139 TAPO ST STE 210
Simi Valley, CA 93063
(805) 584-3000
✔ PECOS31 mi
Nurse Practitioner
NPI 1275241622
511 N HOLLYWOOD WAY
Burbank, CA 91505
(818) 841-0710
✔ PECOS✔ Accepts Medicare52 mi
Pathology
NPI 1306256292
11234 ANDERSON ST LOMA LINDA UNIVERSITY MEDICAL CENTER - PATHOLOGY
Loma Linda, CA 92354
(909) 558-4094
✔ PECOS✔ Accepts Medicare115 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dietz Regenerative Health Corporation's NPI number?

The NPI number for Dietz Regenerative Health Corporation is 1174402010. It was assigned to this organization in the NPPES registry on August 27, 2025. The provider is doing business as Stoked Regenerative Health and Ventura Wound Care.

Where is Dietz Regenerative Health Corporation located?

Dietz Regenerative Health Corporation is located at 3717 Telegraph Rd, Ventura, CA 93003. The listed phone number is (805) 586-2068.

What is Dietz Regenerative Health Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Dietz Regenerative Health Corporation enrolled in Medicare?

Yes. Dietz Regenerative Health Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dietz Regenerative Health Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Dietz Regenerative Health Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Pathology (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dietz Regenerative Health Corporation was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.