Active NPI
Laura Diaz, PA-C
- Physician Assistant
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00451500
- Practice address
- 2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501 - Phone
- (561) 688-5808
- NPI assigned
- Oct 11, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00451500 | NJ | Primary |
Addresses
Primary practice location
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501
Mailing address
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501
Phone (561) 688-5808
Other practice location 1
7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191025002360 | FL | Practitioner - Physician Assistant | 5597024711 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MD Now Medical Centers Inc
Practice addresses (Care Compare)
1770 NE Miami Gardens Dr
N Miami Beach, FL 33179-5301
Phone (305) 949-4141
4001 SW 72ND Ave
Miami, FL 33155-4556
Phone (305) 663-5770
4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00451500 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Now Medical Centers Inc | Current | Accepting new patients |
Locations
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1306356704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 PALM BEACH LAKES BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096501",
"telephone_number": "561-688-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 PALM BEACH LAKES BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096501",
"telephone_number": "561-688-5808"
}
],
"practiceLocations": [
{
"address_1": "7600 River Rd",
"address_purpose": "LOCATION",
"city": "North Bergen",
"state": "NJ",
"postal_code": "070476217",
"country_code": "US",
"telephone_number": "201-854-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "LAURA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-11",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00451500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.