Organization provider

DIETZ REGENERATIVE HEALTH CORPORATION

Anatomic Pathology & Clinical Pathology Physician Nurse Practitioner Physician Assistant Medicare enrolled

DIETZ REGENERATIVE HEALTH CORPORATION is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1174402010, based in Ventura, CA. The organization lists 3 taxonomy classifications, with Anatomic Pathology & Clinical Pathology Physician recorded as primary.

Getting there

The practice address on file is 3717 TELEGRAPH RD, Ventura, CA 93003. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3717 TELEGRAPH RD, Ventura, CA 93003 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
0547766644

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Anatomic Pathology & Clinical Pathology covers

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. NUCC Health Care Provider Taxonomy, code 207ZP0102X
Allopathic & Osteopathic Physicians Pathology Anatomic Pathology & Clinical Pathology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207ZP0102X Anatomic Pathology & Clinical Pathology Physician Anatomic Pathology & Clinical Pathology primary
363L00000X Nurse Practitioner
363A00000X Physician Assistant

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1174402010 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 27, 2025
Last updatedDec 23, 2025
StatusActive
Practice address 3717 TELEGRAPH RD
Ventura, CA 93003
(805) 586-2068
Fax (805) 504-1160
This record was updated on Dec 23, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1174402010 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 7 4 4 0 2 0 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 5 4 8 0 4 0 2

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1174402010?
NPI 1174402010 is the National Provider Identifier assigned to DIETZ REGENERATIVE HEALTH CORPORATION in Ventura, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Anatomic Pathology & Clinical Pathology cover?
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and…
How do I contact DIETZ REGENERATIVE HEALTH CORPORATION?
The phone number on file with NPPES is (805) 586-2068, last updated Dec 23, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does DIETZ REGENERATIVE HEALTH CORPORATION accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1174402010 a valid number?
Yes. 1174402010 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.