Diana Taiz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109168 Issued in CA

Practice address

9862 Mission Gorge Rd Ste E
Santee, CA 92071-3873

Phone

(619) 596-1600

NPI assigned

Aug 28, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rygg Dental Corporation

  • General Practice Dentistry
  • Santee, CA
  • NPI 1619062569
  NPD (past)

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1235914482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 CALAVO DR",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781138",
            "telephone_number": "951-999-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9862 MISSION GORGE RD STE E",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713873",
            "telephone_number": "619-596-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIZ",
        "first_name": "DIANA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Stretton, PPS CREDENTIAL
• Marisa Eden Strobridge, DO
• Audrey Sun
• Sweetbriar Marriage and Family Therapy Corporation
• Debie Ai Taguchi, L.AC.
• Wilson Tam
• Emmanuel Gonzales Tanay
• Carla Abigail Rumbaoa Tayag, LVN, RN
• Michelle Ganangan Tello
• Nicholas Adam Thacker, D.D.S.

• General Practice Dentistry in Santee, CA
• Providers in Santee, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.