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DR. PHILLIP DIETRICH D.C.
NPI 1255461695
Chiropractor in South San Francisco, CA

Active since March 06, 2007
363 EL CAMINO REAL, SUITE 105, SOUTH SAN FRANCISCO, CA 94080(650) 291-0709 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Phillip Dietrich D.c. NPPES

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

DR. PHILLIP DIETRICH D.C. (NPI 1255461695) is an individual chiropractor in South San Francisco, California, licensed in California (11891) and active in the NPI registry since March 2007. He is a graduate of Cleveland Chiropractic College - Los Angeles (1977).

NPPES Registry Identity

NPI1255461695
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. PHILLIP DIETRICHCredential: D.C.
Location Address363 EL CAMINO REAL, SUITE 105South San Francisco, CA 94080-5980
Mailing Address363 El Camino Real, Suite 105South San Francisco, CA 94080-5980
Phone(650) 291-0709
Sole ProprietorYes
Medical School CMSCleveland Chiropractic College - Los AngelesGraduated 1977
Enumeration DateMarch 6, 2007
Last NPPES UpdateJanuary 11, 2017
✔ NPI 1255461695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 11891
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
363 EL CAMINO REAL, South San Francisco, CA 94080
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phillip Dietrich D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527169424
PECOS Enrollment IDI20070723000239

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
227 services13 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPEECH GOALS SPEECH THERAPY INC.
Speech-Language Pathologist
363 EL CAMINO REAL, SUITE 100
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 583-3797

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 Phillip Dietrich's NPI number?

The NPI number for Phillip Dietrich is 1255461695. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Phillip Dietrich located?

Phillip Dietrich practices at 363 El Camino Real Suite 105, South San Francisco, CA 94080. The listed phone number is (650) 291-0709.

What is Phillip Dietrich's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Phillip Dietrich enrolled in Medicare?

Yes. Phillip Dietrich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Dietrich was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.