Active NPI
Rick Dion Diaz, LISAC
- Addiction (Substance Use Disorder) Counselor
- Yuma, AZ
National Provider Identifier
1306875265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LISAC-10494
- Practice address
- 106 E 1St St
Yuma, AZ 85364-1450 - Phone
- (928) 341-0335
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-10494 | AZ | Primary |
Addresses
Primary practice location
106 E 1St St
Yuma, AZ 85364-1450
Mailing address
3250A E 40TH St
Yuma, AZ 85365
Phone (928) 341-0335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 928335 | Other | AZ | AHCCCS # |
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 |
|---|---|---|---|
| LISAC-10494 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turtle Bay Cafe of Casa Grande, LLC | Past | Accepting new patients | |
| Turtle Bay Cafe of Yuma, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Casa Grande, AZ
- NPI 1417345273
-
- Community/Behavioral Health Agency
- Yuma, AZ
- NPI 1215325071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306875265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250A E 40TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "85365",
"telephone_number": "928-341-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 E 1ST ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853641450",
"telephone_number": "928-341-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "RICK",
"middle_name": "DION",
"name_prefix": "Mr.",
"credential": "LISAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-10494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS #",
"identifier": "928335",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.