TINA K DIETZ PHD
NPI 1184970618
Psychologist in San Francisco, CA
About Tina K Dietz Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA K DIETZ PHD (NPI 1184970618) is an individual psychologist in San Francisco, California, licensed in California (PSY23391) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tina K Dietz Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tina Dietz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94116
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94118
SAN FRANCISCO, CA 94118
SAN FRANCISCO, CA 94118
SAN FRANCISCO, CA 94118
SAN FRANCISCO, CA 94118
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 Tina Dietz's NPI number?
The NPI number for Tina Dietz is 1184970618. It was assigned to this individual provider in the NPPES registry on August 2, 2012. The provider is also known as Tina Elaine Kalimos-Dietz Phd.
Where is Tina Dietz located?
Tina Dietz practices at 4141 Geary Blvd, San Francisco, CA 94118. The listed phone number is (510) 833-2000.
What is Tina Dietz's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Tina Dietz enrolled in Medicare?
Yes. Tina Dietz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tina Dietz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Dietz reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The 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 Tina Dietz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tina Dietz was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.