Organization Active NPI

Tara Diaz Wellness

  • Acupuncturist
  • El Segundo, CA
National Provider Identifier
1013445352
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15635 Issued in CA
Legal business name
TARA DIAZ WELLNESS
Practice address
519 Main St
El Segundo, CA 90245-3006
Phone
(424) 258-0738
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tara Schachter-Diaz, LAC
Title
Owner
Phone
(424) 258-0738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 15635 CA Primary

Addresses

Primary practice location

519 Main St
El Segundo, CA 90245-3006

Mailing address

519 Main St
El Segundo, CA 90245-3006
Phone (424) 258-0738

Other practice location 1

8939 S Sepulveda Blvd Ste 430
Los Angeles, CA 90045-3655
Phone (424) 258-0738

National Provider Directory

National Provider Directory

Locations

519 Main St
El Segundo, CA 90245
Phone (424) 258-0738

8939 S Sepulveda Blvd
Ste 430
Los Angeles, CA 90045
Phone (424) 248-5412

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1013445352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 MAIN ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453006",
            "telephone_number": "424-258-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 MAIN ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453006",
            "telephone_number": "424-258-0738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8939 S Sepulveda Blvd Ste 430",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900453655",
            "country_code": "US",
            "telephone_number": "424-258-0738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TARA DIAZ WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "SCHACHTER-DIAZ",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-258-0738",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.