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

PATTY MORELL DIBLASIO M.D.
NPI 1295979144
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in San Clemente, CA

Active since April 22, 2009Opted out of Medicare · through Mar 16, 2028
12 VIA PAQUETE, SAN CLEMENTE, CA 92673(949) 325-6164(949) 649-1058 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 3, 2026, Jun 17, 2021, Mar 6, 2020 (3 updates tracked since 2020).

About Patty Morell Diblasio M.d. NPPES

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

PATTY MORELL DIBLASIO M.D. (NPI 1295979144) is an individual preventive medicine/occupational environmental medicine provider in San Clemente, California, licensed in California (A123970) and active in the NPI registry since April 2009. She has opted out of Medicare through March 16, 2028.

NPPES Registry Identity

NPI1295979144
Entity TypeIndividualFemale
Primary Taxonomy2083P0500X
Provider Legal NamePATTY MORELL DIBLASIOCredential: M.D.
Location Address12 VIA PAQUETESan Clemente, CA 92673-6915
Mailing Address12 Via PaqueteSan Clemente, CA 92673-6915 · (949) 328-6164 · Fax (949) 649-1058
Fax(949) 649-1058
Sole ProprietorYes
Enumeration DateApril 22, 2009
Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1295979144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License✔ Licensed in CA · A123970
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
12 VIA PAQUETE, San Clemente, CA 92673

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Patty Morell Diblasio M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 16, 2020 through March 16, 2028.

Opt-Out Effective DateMarch 16, 2020
Opt-Out In Effect ThroughMarch 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Patty Diblasio's NPI number?

The NPI number for Patty Diblasio is 1295979144. It was assigned to this individual provider in the NPPES registry on April 22, 2009.

Where is Patty Diblasio located?

Patty Diblasio practices at 12 Via Paquete, San Clemente, CA 92673. The listed phone number is (949) 325-6164.

What is Patty Diblasio's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Is Patty Diblasio enrolled in Medicare?

No. Patty Diblasio has opted out of Medicare through March 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Patty Diblasio was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.