Ailene Jenet Diaz

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

501588 Issued in CA

Practice address

4334 Latham St
Riverside, CA 92501-1748

Phone

(951) 961-8282

NPI assigned

Dec 29, 2023

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1104695238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 COYOTE DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243721",
            "telephone_number": "909-254-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 LATHAM ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011748",
            "telephone_number": "951-961-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "AILENE",
        "middle_name": "JENET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "501588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Marie Diaz-Green
• Katharine Diaz-Montero
• Jacqueline Melissa Diaz-Pureco
• Martha J Diaz-Torres, CHW
• Adriana E Diaz, PA
• Alberto Diaz
• Alexah Nichole Diaz
• Alexis Diaz
• Aliya Alexandra Diaz
• Amelia Grace Diaz

• Occupational Therapy Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.