Active NPI
Claudia Diaz
- Marriage & Family Therapist
- Manteca, CA
National Provider Identifier
1275810442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 99791
- Practice address
- 302 Cherry LN Ste 101
Manteca, CA 95337-4311 - Phone
- (209) 647-7648
- NPI assigned
- Nov 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 99791 | CA | Primary |
Addresses
Primary practice location
302 Cherry LN Ste 101
Manteca, CA 95337-4311
Mailing address
302 Cherry LN Ste 101
Manteca, CA 95337-4311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Joaquin Behavioral Health Services | Marriage & Family Therapist | Current | Accepting new patients |
| Victor Community Support Services, Inc. | Current | Accepting new patients | |
| Victor Community Support Services, Inc. | Past | Accepting new patients |
Locations
302 Cherry Ln
Ste 101
Manteca, CA 95337
Phone (209) 647-6200
1212 N California St
Stockton, CA 95202
Phone (209) 468-8660
Organizations & group practices 3
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.
-
dba San Joaquin County Behavioral Health Services
- Community/Behavioral Health Agency
- Stockton, CA
- NPI 1215028931
Marriage & Family Therapist
-
- Community/Behavioral Health Agency
- Manteca, CA
- NPI 1215579628
-
- Adolescent and Children Mental Health Clinic/Center
- Stockton, CA
- NPI 1932251980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1275810442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 CHERRY LN STE 101",
"city": "MANTECA",
"state": "CA",
"postal_code": "953374311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 CHERRY LN STE 101",
"city": "MANTECA",
"state": "CA",
"postal_code": "953374311",
"telephone_number": "209-647-7648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "CLAUDIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "99791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.