Active NPI
Wilfredo Zaulda Diaz
- Physical Therapist
- San Leandro, CA
National Provider Identifier
1144459157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 291781
- Practice address
- 2800 Benedict Dr
San Leandro, CA 94577-6840 - Phone
- (510) 357-8300
- NPI assigned
- Jul 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3696 | NM | |
| Physical Therapist | 225100000X | 1196038 | TX | |
| Physical Therapist | 225100000X | 291781 | CA | Primary |
| Physical Therapist | 225100000X | 29089 | FL | |
| Physical Therapist | 225100000X | 070.017161 | IL | |
| Physical Therapist | 225100000X | 004432 | IA |
Addresses
Primary practice location
2800 Benedict Dr
San Leandro, CA 94577-6840
Mailing address
2416 W Tennyson Rd Apt 264
Hayward, CA 94545-4153
Phone (575) 551-2073
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291781 | CA | MD | Physical Therapist |
| 29089 | FL | MD | Physical Therapist |
| 004432 | IA | MD | Physical Therapist |
| 070.017161 | IL | MD | Physical Therapist |
| 3696 | NM | MD | Physical Therapist |
| 1196038 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1144459157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2416 W TENNYSON RD APT 264",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945454153",
"telephone_number": "575-551-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 BENEDICT DR",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945776840",
"telephone_number": "510-357-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "WILFREDO",
"middle_name": "ZAULDA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-11",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3696",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1196038",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "291781",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "29089",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.017161",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004432",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.