Guillermo Diaz, MBA
Individual provider Active NPI Case Manager/Care Coordinator · Alturas, CA
NPI 1033428644 · NPPES record last updated Sep 29, 2010
Key facts
- NPI
- 1033428644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 441 N Main St
Alturas, CA 96101-3457 - Phone
- (530) 233-6312
- Fax
- (530) 233-6339
- NPI assigned
- Sep 29, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Business Administration
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
441 N Main St
Alturas, CA 96101-3457
Mailing address
441 N Main St
Alturas, CA 96101-3457
Phone (530) 233-6312
Other providers in Alturas, CA
- County of Modoc
- County of Modoc
- Richard James Crosby Jr.
- Jillian Diane Davidson
- Cindy Marie Deiter
- Dr. Kyle Dearing, O.D, Inc
- Edward P. Richert, M.D., Inc.
- Heidi Lynn Elmer
- Norman Dennis Ensminger
- Evelyn M Farber
All providers in Alturas, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.