Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chase Diego

Individual provider Medical Physician Assistant · NPI 1306623525

Chase Diego is a Physician Assistant in Thousand Oaks, California. Qualified in 2023, 3 years ago. Practices with California Dermatology Institute PC, a 23-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

3095 Old Conejo Rd Ste 200
Thousand Oaks, CA 91320-2130
Phone: (888) 367-1850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24785 Stewart St Evans Hall Room201, Loma Linda, CA 92350-0001 — (805) 479-1349

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (CA)

Record details

NPI number1306623525
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing addressPo Box 6542, Santa Maria, CA 93456-6542

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice California Dermatology Institute Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Thousand Oaks