KRISTI JO DIEHL PA-C - NPI 1417080052 - Physician Assistant in Chino, CA

Q: What is Kristi Diehl's NPI number?

The NPI number for Kristi Diehl is 1417080052. It was assigned to this individual provider in the NPPES registry on March 13, 2007. The provider is also known as Kristi Jo Gough Pa-C.

Q: What is Kristi Diehl's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kristi Diehl was last updated on January 10, 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.

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About Kristi Jo Diehl Pa-c NPPES

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

KRISTI JO DIEHL PA-C (NPI 1417080052) is an individual medical provider in Chino, California, licensed in California (PA18019) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417080052

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKRISTI JO DIEHLCredential: PA-C

Location Address15361 CENTRAL AVEChino, CA 91710-7608

Mailing Address16441 Cyan CtChino Hills, CA 91709-4601 · (909) 393-8082 · Fax (909) 606-9599

Phone(909) 393-7171

Fax(909) 393-7676

Sole ProprietorNo

Enumeration DateMarch 13, 2007

Last NPPES UpdateJanuary 10, 2017

✔ NPI 1417080052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA18019

15361 CENTRAL AVE, Chino, CA 91710

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Other Names 1

Former Name (1)Kristi Jo Gough Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristi Jo Diehl Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$168.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MORENO FAMILY MEDICAL AND ASSOCIATES INC

Family Medicine