Angelica Joleen Diaz

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

6397 Issued in CA

Practice address

14135 Francisquito Ave Ste 100
Baldwin Park, CA 91706-6105

Phone

(626) 430-2300

NPI assigned

Aug 11, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1285317537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 6TH AVE SPC 287",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917451225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 FRANCISQUITO AVE STE 100",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917066105",
            "telephone_number": "626-430-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ANGELICA JOLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "6397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vimal Desai, M.D.
• David Oren Dewitt, PA
• Jamie Di Fiori, MD
• Yolanda B. Di Fronzo, DO
• Angela Andrea Diaz, PAC
• Laura Diaz
• Veronica Isabel Diaz, D.C.
• Digestive and Liver Disease Specialists a Medical Group Inc
• Tamer Fayez Fouad Dimian, B.SC.PHARMACY
• David W. Dinwiddie, MD

• Occupational Therapy Assistant in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.