Active NPI
Oscar A Diaz, N.P.
- Nurse Practitioner
- Mission Hills, CA
National Provider Identifier
1043980980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95018402
- Practice address
- 11133 N Sepulveda Blvd
Mission Hills, CA 91346 - Phone
- (818) 837-5785
- NPI assigned
- Sep 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95018402 | CA | |
| Gerontology Nurse Practitioner | 363LG0600X | 95018402 | CA | |
| Nurse Practitioner | 363L00000X | 95018402 | CA | Primary |
Addresses
Primary practice location
11133 N Sepulveda Blvd
Mission Hills, CA 91346
Mailing address
PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5559
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20800 Sherman Way
Canoga Park, CA 91306-2707
Phone (818) 883-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018402 | CA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Proyecto del Barrio, Inc. | Current | Accepting new patients | |
| El Proyecto del Barrio, Inc. | Current | Accepting new patients | |
| El Proyecto del Barrio, Inc. | Current | Accepting new patients | |
| Henry Mayo Newhall Memorial Hospital | Past | Accepting new patients |
Locations
8932 Woodman Ave
Fl 2
Arleta, CA 91331
8902 Woodman Ave
Arleta, CA 91331
Phone (818) 830-7033
20800 Sherman Way
Winnetka, CA 91306
Phone (818) 883-2273
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Azusa, CA
- NPI 1770696023
-
- Federally Qualified Health Center (FQHC)
- Northridge, CA
- NPI 1093181448
-
- Federally Qualified Health Center (FQHC)
- Winnetka, CA
- NPI 1538130893
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1043980980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9602",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913469602",
"telephone_number": "818-837-5559",
"fax_number": "818-792-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11133 N SEPULVEDA BLVD",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "91346",
"telephone_number": "818-837-5785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "OSCAR",
"middle_name": "A",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-13",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95018402",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "95018402",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95018402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.