Active NPI
Gisele Kiana Diaz, APCC
- Professional Counselor
- San Diego, CA
National Provider Identifier
1194445262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC14775
- Practice address
- 5348 University Ave Ste 108
San Diego, CA 92105-8025 - Phone
- (619) 255-9278
- NPI assigned
- Aug 30, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC14775 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
5348 University Ave Ste 108
San Diego, CA 92105-8025
Mailing address
5348 University Ave Ste 108
San Diego, CA 92105-8025
Phone (619) 255-9278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7162086 | Medicaid | CA |
Other names 1
- Kiana Diaz
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gkdiaz@upacsd.com | Direct |
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 |
|---|---|---|---|
| LPCC14775 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union of Pan Asian Communities | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1861606956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1194445262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5348 UNIVERSITY AVE STE 108",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921058025",
"telephone_number": "619-255-9278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5348 UNIVERSITY AVE STE 108",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921058025",
"telephone_number": "619-255-9278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "GISELE",
"middle_name": "KIANA",
"credential": "APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC14775",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7162086",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gkdiaz@upacsd.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5348 University Ave Ste 108",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921058025",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KIANA",
"last_name": "DIAZ",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.