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DR. ANTONIA FORSYTH DILLER DC
NPI 1790382828
Chiropractor in Eureka, CA

Active since October 01, 2020Accepts Medicare Assignment
1775 HARRISON AVE, EUREKA, CA 95501(707) 616-6156 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2024, Oct 1, 2020 (2 updates tracked since 2020).

About Dr. Antonia Forsyth Diller Dc NPPES

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

DR. ANTONIA FORSYTH DILLER DC (NPI 1790382828) is an individual chiropractor in Eureka, California, licensed in California (34926) and active in the NPI registry since October 2020. She is a graduate of Palmer College Chiropractic - West Sunnyvale (2020).

NPPES Registry Identity

NPI1790382828
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANTONIA FORSYTH DILLERCredential: DC
Location Address1775 HARRISON AVEEureka, CA 95501-1338
Mailing Address1775 Harrison AveEureka, CA 95501-1338 · (707) 616-6156
Phone(707) 616-6156
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2020
Enumeration DateOctober 1, 2020
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1790382828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 34926
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.
1775 HARRISON AVE, Eureka, CA 95501
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Other Names 1

Former Name (1)Dr. Antonia Juliette Forsyth Dc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Antonia Forsyth Diller Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325468754
PECOS Enrollment IDI20201023000169

Medicare Billing Reassignment

Medicare enrollment records show Antonia Diller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Active Care Chiropractic, Fogg Professional Corporation
Same address
Chiropractor
1775 HARRISON AVE
Eureka, CA 95501
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1356707772 (707) 445-8080

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 10

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

REBECCA GRANDE
Massage Therapist
1775 HARRISON AVE
EUREKA, CA 95501
Humboldt County (707) 445-8080
STEVEN MICHAEL KOONTZ
Massage Therapist
1775 HARRISON AVE
EUREKA, CA 95501
Humboldt County (707) 445-8080
MARCO BRINE
Chiropractor
1775 HARRISON AVE
EUREKA, CA 95501
Humboldt County (707) 445-8080
ACTIVE CARE CHIROPRACTIC, FOGG PROFESSIONAL CORPORATION
Chiropractor
1775 HARRISON AVE
EUREKA, CA 95501
Humboldt County (707) 445-8080
BELLINGER CHIROPRACTIC CORPORATION
Chiropractor
1775 HARRISON AVE
EUREKA, CA 95501
Humboldt County (707) 445-8080
ELIZABETH ANNE SAVOCA FOGG MA, LMFT
Marriage & Family Therapist
1775 HARRISON AVE
EUREKA, CA 95501
Humboldt County (707) 445-8080
DR. ANDREW W FOGG D.C.
Chiropractor
1775 HARRISON AVE
EUREKA, CA 95501
Humboldt County (707) 445-8080
ADAM MESTER
Massage Therapist
1775 HARRISON AVE
EUREKA, CA 95501
Humboldt County (707) 445-8080

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 Antonia Diller's NPI number?

The NPI number for Antonia Diller is 1790382828. It was assigned to this individual provider in the NPPES registry on October 1, 2020. The provider is also known as Dr. Antonia Juliette Forsyth Dc.

Where is Antonia Diller located?

Antonia Diller practices at 1775 Harrison Ave, Eureka, CA 95501. The listed phone number is (707) 616-6156.

What is Antonia Diller's specialty?

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

Is Antonia Diller enrolled in Medicare?

Yes. Antonia Diller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Antonia Diller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonia Diller reassigns Medicare benefits to Active Care Chiropractic, Fogg Professional Corporation (Eureka, 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 Antonia Diller'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 Antonia Diller was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.