DR. DIEDRA ANN DUCHOCK PHD
NPI 1801843784
Psychologist in San Diego, CA
About Dr. Diedra Ann Duchock Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DIEDRA ANN DUCHOCK PHD (NPI 1801843784) is an individual psychologist in San Diego, California, licensed in California (19678) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Diedra Ann Duchock Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Diedra Duchock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fresno, CA 93710
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Mark David Levine MD Professional Corporation
- 329 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 DIEGO, CA 92108
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
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 Diedra Duchock's NPI number?
The NPI number for Diedra Duchock is 1801843784. It was assigned to this individual provider in the NPPES registry on May 27, 2006.
Where is Diedra Duchock located?
Diedra Duchock practices at 1550 Hotel Cir N Ste 450, San Diego, CA 92108. The listed phone number is (855) 501-1004.
What is Diedra Duchock's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Diedra Duchock enrolled in Medicare?
Yes. Diedra Duchock is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Diedra Duchock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diedra Duchock reassigns Medicare benefits to Mark David Levine, MD Fresno (Fresno, 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 Diedra Duchock'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 Diedra Duchock was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.