Taylor Diaz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60342 Issued in CA

Practice address

20911 Earl St Ste 140
Torrance, CA 90503-4353

Phone

(310) 542-0199

Fax

(310) 542-4652

NPI assigned

Sep 12, 2019

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skyline Urology

  • Specialist
  • Torrance, CA
  • NPI 1730136573
  NPD
• Urology Institute of the South Bay

  • Urology Physician
  • Torrance, CA
  • NPI 1801804760
  NPD

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1083264923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 140",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 140",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034353",
            "telephone_number": "310-542-0199",
            "fax_number": "310-542-4652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2704 E Willow St",
            "address_purpose": "LOCATION",
            "city": "Signal Hill",
            "state": "CA",
            "postal_code": "907552217",
            "country_code": "US",
            "telephone_number": "562-490-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leilany Diaz
• Lucia Diaz, NP
• Luis Alejandro Diaz Sr.
• Natalie Diaz, M.D.
• Roxanne Diaz
• Alessandra Dibernardo, PTA
• Russell Dickerson, M.D.
• Vanessa Lynn Dickey, MD
• Natalie Jeanette Dicks, BA, MA
• Domenic Didomenicantonio, DC

• Physician Assistant in Torrance, CA
• Providers in Torrance, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.

Verify at the official NPI Registry.