Osvaldo Diaz

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

3D Battalion 1St Mar Battalion Aid Station
Box 555422
Camp Pendleton, CA 92055

Phone

(760) 763-0565

NPI assigned

Feb 6, 2008

Last updated

Feb 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1255519773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 RANCHO DEL ORO DR APT 100",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920577308",
            "telephone_number": "760-763-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3D BATTALION 1ST MAR BATTALION AID STATION",
            "address_2": "BOX 555422",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-763-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "OSVALDO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Matheu Devereaux
• Charlotte Devore, DO
• Nicholas Gerrit Devries, NP
• Dfas-CL/JFLP
• Joseph Anthony Diaz
• Gillian Charlene Diestel, PT, DPT
• John Dilgard, CRNA
• Genesisjames Basilio Dizon, SFIDC
• Chadwick James Donaldson, MD, MS, MPH
• Jeff Doran

• Independent Duty Corpsman in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.