Melody Diaz
Individual provider Active NPI Peer Specialist · Jurupa Valley, CA
NPI 1083285290 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1083285290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- MPSS-HYIRTF (CA)
- Practice address
- 3924 Riverview Dr
Jurupa Valley, CA 92509-6611 - Phone
- (951) 416-1572
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-HYIRTF | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jurupa Unified School District | Current |
Accepting new patients |
Locations
3924 Riverview Dr
Riverside, CA 92509
Phone (951) 360-4175
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | MPSS-HYIRTF | CA | Yes |
Addresses
Primary practice location
3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Mailing address
3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Phone (951) 416-1572
Other providers in Jurupa Valley, CA
- Marisae Esther De Leon
- Frances Marie Pasculado Del Fierro
- Roman Delacruz
- Stella Itzel Delgadillo
- Dana Dewitt
- Morena Guadalupe Diaz
- Nadia Luctia Diaz
- Adinda Golden Dobyns
- Dr Smile Dental and Orthodontics Office of Dr Rahij Obid
- Maria Magdalena Duarte-Pita
All providers in Jurupa Valley, CA · Peer Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.