Joseph Michael Diaz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11970 Issued in CA

Practice address

10885 Telegraph Rd
Ventura, CA 93004-1272

Phone

(805) 647-7704

Fax

(833) 916-2148

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Primary Medical Group of Ventura County Inc

  • Family Medicine Physician
  • Ventura, CA
  • NPI 1417970849
  Medicare reassignment

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1023114709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10885 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041272",
            "telephone_number": "805-647-7704",
            "fax_number": "805-647-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10885 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041272",
            "telephone_number": "805-647-7704",
            "fax_number": "833-916-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT -CERT",
            "identifier": "PA1170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria J Di Battista, MFT
• Lanyard Dial, M.D.
• Spencer Diamond
• Diana Ali, PHD, Psychologist, Inc.
• Reina Diaz-Ramos
• Stephanie C Diaz
• Vivian Diaz
• Lori Dibenedetto
• Dorcas Dickson-Gregory, LPT
• Sheryl Dickstein, M.D.

• Physician Assistant in Ventura, CA
• Providers in Ventura, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.