Active NPI
Anabel Diaz
- Licensed Psychiatric Technician
- Los Angeles, CA
National Provider Identifier
1255474185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT31039
- Practice address
- 11845 W Olympic Blvd Ste 1250W
Los Angeles, CA 90064-1149 - Phone
- (310) 400-6685
- Fax
- (844) 269-5439
- NPI assigned
- Feb 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT31039 | CA | Primary |
Addresses
Primary practice location
11845 W Olympic Blvd Ste 1250W
Los Angeles, CA 90064-1149
Mailing address
11845 W Olympic Blvd Ste 1250W
Los Angeles, CA 90064-1149
Phone (310) 400-6685
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 |
|---|---|---|---|
| PT31039 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787356800000",
"number": "1255474185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11845 W OLYMPIC BLVD STE 1250W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641149",
"telephone_number": "310-400-6685",
"fax_number": "844-269-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11845 W OLYMPIC BLVD STE 1250W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641149",
"telephone_number": "310-400-6685",
"fax_number": "844-269-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ANABEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2026-08-22",
"certification_date": "2026-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT31039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.