Diego Inc.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

DIEGO INC.

Practice address

400 W Mineral King Ave
Visalia, CA 93291-6237

Phone

(559) 624-5050

Fax

(559) 909-4011

NPI assigned

Nov 22, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Diego Roman Cavenaghi, CRNA

Title

Ceo

Phone

(951) 823-2413

Specialties & licenses 1

Addresses

Other names 1

• Mandrake CRNA Nursing Services, A Proffedional Corporation Other name

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1174280309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 LA CRESCENTA",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928874012",
            "telephone_number": "951-823-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916237",
            "telephone_number": "559-624-5050",
            "fax_number": "559-909-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "CAVENAGHI",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "ROMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-823-2413",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mandrake CRNA Nursing Services, A Proffedional Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jasmin Diaz
• Jay Gabriel Diaz
• Lauren Jessica Diaz, LCSW
• Rosa Delia Diaz
• Vanessa Diaz
• Jeremy R Dignan
• Brittany S Dilbeck
• Megan Dill
• Zackary Ryan Dill
• Patricia Joanne Dillard, FAM SVC COORDIN

• Certified Registered Nurse Anesthetist in Visalia, CA
• Providers in Visalia, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.