Active NPI
Monique Diaz
- Addiction (Substance Use Disorder) Counselor
- Oxnard, CA
National Provider Identifier
1083997670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6775
- Practice address
- 1911 Williams Dr Ste 200
Oxnard, CA 93036-0673 - Phone
- (805) 761-9654
- NPI assigned
- Sep 21, 2011
- Last updated
- Nov 14, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CA | ||
| Rehabilitation Practitioner | 225400000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6775 | CA | Primary |
Addresses
Primary practice location
1911 Williams Dr Ste 200
Oxnard, CA 93036-0673
Mailing address
1911 Williams Dr Ste 200
Oxnard, CA 93036-0673
Phone (805) 761-9654
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Past | Accepting new patients | |
| Pacific Clinics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Pacific Clinics- TAY Tunnel & Ventura IPS
- Community/Behavioral Health Agency
- Oxnard, CA
- NPI 1235075375
-
- Community/Behavioral Health Agency
- Oxnard, CA
- NPI 1700062676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1083997670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 WILLIAMS DR STE 200",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360673",
"telephone_number": "805-761-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 WILLIAMS DR STE 200",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360673",
"telephone_number": "805-761-9654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "MONIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "6775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.