Active NPI
Carlos R Diaz Torrez
- Clinical Social Worker
- Watsonville, CA
National Provider Identifier
1073985933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW67690
- Practice address
- 610 Tuttle Ave Apt 1
Watsonville, CA 95076-3441 - Phone
- (831) 254-8833
- NPI assigned
- Oct 30, 2015
- Last updated
- Nov 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW67690 | CA | Primary |
Addresses
Primary practice location
610 Tuttle Ave Apt 1
Watsonville, CA 95076-3441
Mailing address
610 Tuttle Ave Apt 1
Watsonville, CA 95076-3441
Phone (831) 254-8833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW67690 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1073985933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 TUTTLE AVE APT 1",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950763441",
"telephone_number": "831-254-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 TUTTLE AVE APT 1",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950763441",
"telephone_number": "831-254-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ TORREZ",
"first_name": "CARLOS",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-30",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW67690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.