DIANA LOUISE BULLOCK (NPI# 1700076379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700076379 |
| Entity Type | Individual |
| Full Name | DIANA LOUISE BULLOCK |
| Other Name | DIANA LOUISE BALTODANO |
| Credential | RN,CDE |
| Practice Address |
215 Pesetas Ln Santa Barbara CA 93110-1416 |
| Mailing Address |
Po Box 62106 Santa Barbara CA 93160-2106 |
| Practice Telephone | 8056811761 |
| Practice Fax Number | 8056811768 |
| Mailing Telephone | 8056811761 |
| Mailing Fax Number | 8056811768 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2009-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN498168 | CA | Nursing Service Providers |
| Street Address |
215 PESETAS LN |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93110-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306836713 | Kenneth S Palley | Physician Assistant | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2005-10-26 |
| 1780235960 | Shiela Marie Marie Tungol-laffie | Nurse Practitioner | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2019-09-27 |
| 1639638026 | Lawrence Suarez | Pharmacist | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2019-03-15 |
| 1972079663 | Robert Richard Bauer | Nurse Practitioner | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-10-19 |
| 1235613480 | Leann Mclaughlin | Nurse Practitioner | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-09-23 |
| 1497237598 | Gabriella Apollonio | Physician Assistant | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-09-05 |
| 1558854984 | Kati Lynn Kenner | Physician Assistant | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-06-11 |
| 1487144747 | Krista Briana Blaustein | Physician Assistant | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-05-12 |
| 1609227453 | Caitlin Harris Hwang | Family Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2016-06-23 |
| 1245693639 | Marie Claire Lamb | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110 | 2016-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386287431 | Rosanne M. Marquis | Technician | 4131 Creviente Drive, Santa Barbara, CA 93110 | 2019-10-22 |
| 1467961722 | Chris Latham | Nutritionist | 4760 Amarosa Street, Santa Barbara, CA 93110 | 2017-09-29 |
| 1770030330 | Laurence Seguin-brault | Social Worker | 66 South Anttonio Road, Santa Barbara, CA 93110 | 2016-09-01 |
| 1891142626 | Patricia Hurtado | Peer Specialist | 66 S San Antonio Road, Santa Barbara, CA 93110 | 2016-05-23 |
| 1023494945 | Santa Barbara County Alcogol, Drug & Mental Health Services | Social Worker | 66 S. San Antonio Road, Santa Barbara, CA 93110 | 2015-08-03 |
| 1225382088 | Terry Gostow | Speech-Language Pathologist | 333 Old Mill Road, #314, Santa Barbara, CA 93110 | 2012-11-01 |
| 1184914020 | Matt Traube | Marriage & Family Therapist | 3953 Carol Ave, Santa Barbara, CA 93110 | 2011-04-12 |
| 1679715270 | Abundant Care IIi | Assisted Living Facility | 4589 Anhay Dr, Santa Barbara, CA 93110 | 2009-03-27 |
| 1508052333 | Chadler R Burgoyne | Orthopaedic Surgery | Sansum Orthopedic Clinic, 4151 Foothill Rd - Bldg A, Santa Barbara, CA 93110 | 2007-09-14 |
| 1689878894 | Jill Louise Daugherty | Counselor | Admhs, Santa Barbara, CA 93110 | 2007-06-12 |
| Find all providers in zip 93110 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316157662 | Sydney Wray Bush | Registered Nurse | 2444 Borton Dr, Santa Barbara, CA 93109-1838 | 2007-05-23 |
| 1205164506 | Amy Janine Carlson | Registered Nurse | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2009-11-24 |
| 1891917308 | Lyda D. Martin | Registered Nurse | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2007-05-03 |
| 1467575712 | Oralia Madera | Registered Nurse | 2219 Bath St, Santa Barbara, CA 93105-4321 | 2007-04-09 |
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|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1104447515 | Nourished Fox, LLC | Registered Nurse | 101 E Coso Ave # 656, Ridgecrest, CA 93555-3655 | 2020-04-27 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1134767593 | Crystal Melody Loucel | Registered Nurse | 1801 21st Ave Apt 102, San Francisco, CA 94122-4448 | 2019-12-17 |
| 1841848314 | Gayle Curto | Registered Nurse | 1450 Treat Blvd # 130, Walnut Creek, CA 94597-2168 | 2019-08-28 |
| 1225682925 | Chau Ngoc Thanh Phan | Registered Nurse | 9191 Westminster Ave Ste 108, Garden Grove, CA 92844-2751 | 2019-07-31 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1548745409 | Krystal Linn Hutcheson | Registered Nurse | 29294 Nectarine St, Menifee, CA 92584-7285 | 2018-09-26 |
| 1184101420 | Terri J Roos | Registered Nurse | 1580 Valencia St Ste 802, San Francisco, CA 94110-4415 | 2018-07-19 |
| Find all providers with the same taxonomy | ||||
| City | SANTA BARBARA |
| Zip Code | 93110 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.