Michael J Dibiase (NPI# 1316188048, PAC ID# 9133257868) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1316188048 |
| PAC ID by PECOS | 9133257868 |
| Professional Enrollment ID | I20100517000545 |
| Full Name | Michael J Dibiase |
| Organization Legal Name | CENTRAL COAST RENAL CARE INC |
| Address |
84 Santa Rosa St A San Luis Obispo CA 93405-1812 |
| Phone Number | 8055488585 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2567513005 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050232 | FRENCH HOSPITAL MEDICAL CENTER |
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| 050633 | TWIN CITIES COMMUNITY HOSPITAL |
| 050506 | SIERRA VISTA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 84 Santa Rosa St A, San Luis Obispo, CA 93405-1812 | 8055488585 | CENTRAL COAST RENAL CARE INC |
| Organization Legal Name | CENTRAL COAST RENAL CARE INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah M Tanner | Registered Dietitian Or Nutrition Professional | Central Coast Renal Care Inc | 84 Santa Rosa St A, San Luis Obispo, CA 93405-1812 |
| Brian S Penton | Internal Medicine | Central Coast Renal Care Inc | 84 Santa Rosa St A, San Luis Obispo, CA 93405-1812 |
| Lara L Callahan | Physician Assistant | Central Coast Renal Care Inc | 84 Santa Rosa St A, San Luis Obispo, CA 93405-1812 |
| Russell L Ness | Nephrology | Central Coast Renal Care Inc | 1551 Bishop St, Bldg A, San Luis Obispo, CA 93401-4635 |
| Scott Morey | Nephrology | Central Coast Renal Care Inc | 84 Santa Rosa St A, San Luis Obispo, CA 93405-1812 |
| Street Address |
84 SANTA ROSA ST A |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip | 93405-1812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah M Tanner | Registered Dietitian Or Nutrition Professional | Central Coast Renal Care Inc | 84 Santa Rosa St A, San Luis Obispo, CA 93405-1812 |
| Brian S Penton | Internal Medicine | Central Coast Renal Care Inc | 84 Santa Rosa St A, San Luis Obispo, CA 93405-1812 |
| Lara L Callahan | Physician Assistant | Central Coast Renal Care Inc | 84 Santa Rosa St A, San Luis Obispo, CA 93405-1812 |
| Scott Morey | Nephrology | Central Coast Renal Care Inc | 84 Santa Rosa St A, San Luis Obispo, CA 93405-1812 |
| Anthony M Wolfe | Nephrology | 84 Santa Rosa St A, San Luis Obispo, CA 93405-1812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William F D Ambruoso | Internal Medicine | 179 Twin Ridge Rd, San Luis Obispo, CA 93405 | |
| Amanda Michelle Parreira | Optometry | 894 Meinecke Ave A, San Luis Obispo, CA 93405-1790 | |
| Tyrone G Mcsorley | Physical Therapy | 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791 | |
| Julie L Mcsorley | Physical Therapy | 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791 | |
| Harold D Segal | Neurosurgery | 140 Casa St, San Luis Obispo, CA 93405-1804 | |
| Gayle S Cekada | Internal Medicine | 184 Casa St, San Luis Obispo, CA 93405-1804 | |
| Stephen A Hilty | Internal Medicine | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Eric W Dunlop | General Practice | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Ginger Christianne Cochran | Registered Dietitian Or Nutrition Professional | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Kristina N Dilworth | Nurse Practitioner | First Choice Physician Partners | 1064 Murray Ave, San Luis Obispo, CA 93405-1806 |
| Find all physicians in zip 93405 | |||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAN LUIS OBISPO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Michael J Dibiase.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.