Active NPI
Hortencia Diaz
- Marriage & Family Therapist
- Palm Desert, CA
National Provider Identifier
1073983177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 103290
- Practice address
- 73550 Alessandro Dr Ste 200
Palm Desert, CA 92260 - Phone
- (760) 834-9008
- NPI assigned
- Oct 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 103290 | CA | Primary |
Addresses
Primary practice location
73550 Alessandro Dr Ste 200
Palm Desert, CA 92260
Mailing address
73550 Alessandro Dr Ste 200
Palm Desert, CA 92260-3613
Phone (760) 834-9008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103290 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toltec Therapy Services | Marriage & Family Therapist | Current | Accepting new patients |
Locations
73550 Alessandro Dr
Ste 200
Palm Desert, CA 92260
Phone (760) 406-2030
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Palm Desert, CA
- NPI 1801448428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1073983177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73550 ALESSANDRO DR STE 200",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922603613",
"telephone_number": "760-834-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73550 ALESSANDRO DR STE 200",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "92260",
"telephone_number": "760-834-9008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "HORTENCIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-01",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "103290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.