Kaiser

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

20A12957 Issued in CA

Legal business name

KAISER

Practice address

11911 Central Ave
Chino, CA 91710-1906

Phone

(909) 631-2440

NPI assigned

Aug 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Patrick Diaz, D.O.

Title

Physician

Phone

(909) 631-2440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1043696479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101906",
            "telephone_number": "909-631-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101906",
            "telephone_number": "909-631-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "909-631-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "20A12957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jurado Enterprises
• Just Food & Fitness
• K-Moa Healthcare, Inc.
• Pranav Nil Kachhi, M.D.
• Shrina Kadivar
• Kaiser Foundation Health Plan Inc
• Stuart A Kaplowitz, MFT
• Michael Ibrahim Karim, DPT
• Shayan Adam Karim, DPT
• Karin C Li MD a Prof Med Corp

• Clinic/Center in Chino, CA
• Providers in Chino, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.