Eriberto Guadalupe Diaz

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

61417062 Issued in WA

Practice address

321 W 1St Ave
Toppenish, WA 98948-1527

Phone

(509) 865-5233

Fax

(509) 865-6505

NPI assigned

May 11, 2023

Sex

Male

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": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1124718127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480366",
            "telephone_number": "509-865-5233",
            "fax_number": "509-865-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W 1ST AVE",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481527",
            "telephone_number": "509-865-5233",
            "fax_number": "509-865-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ERIBERTO",
        "middle_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "61417062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Maria Delgado
• Elvia Delgado
• Maria De Los Angeles Delgado
• Jesse Myron Dempsen
• Jennifer Dawn Denman
• Erica G Diaz, CG61549971
• Maguen Landa-Samano Diaz
• Yanina Diaz
• Carlos M Dibble, M.D.
• Sharon Dietrich, MD

• Addiction (Substance Use Disorder) Counselor in Toppenish, WA
• Providers in Toppenish, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.