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Christopher Diefenbach

  • Male

Medical Specialty

Professional ID

  • NPI: 1437440070
  • PECOS ID: 7416173216
  • Enrollment ID: I20170802001975
  • Credential(MD, DO, DPM):
  • Medical School: New York University School Of Medicine
  • Medical School Graduation Year: 2011

Hospital Service

  • Hospital CCN1: 050599
  • Business Name (LBN)1: University Of California Davis Medical Center
  • Hospital CCN2: 030023
  • Business Name (LBN)2: Flagstaff Medical Center
  • Hospital CCN3: 290001
  • Business Name (LBN)3: Renown Regional Medical Center

Medical Practices

  • Organization Name: Regents Of The Univ Of Ca
  • Group Practice ID assigned by PECOS: 3375456619
  • Number of Group Practice member: 1038

Location

  • Address1: 4860 Y St
  • Address2:
  • City: Sacramento
  • State: California
  • Zip Code: 95817
  • Phone Number: (800)282-3284

Medical Practices

  • Organization Name: Northern Arizona Healthcare Provider Group Llc
  • Group Practice ID assigned by PECOS: 6901055417
  • Number of Group Practice member: 193

Location

  • Address1: 1200 N Beaver St
  • Address2:
  • City: Flagstaff
  • State: Arizona
  • Zip Code: 86001
  • Phone Number: (928)213-6527

Medical Practices

  • Organization Name: Northern Arizona Orthopaedics, Ltd.
  • Group Practice ID assigned by PECOS: 8325941727
  • Number of Group Practice member: 37

Location

  • Address1: 1485 N Turquoise Dr
  • Address2: Suite 200
  • City: Flagstaff
  • State: Arizona
  • Zip Code: 86001
  • Phone Number: (928)774-7757

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):