Maria Luisa F Diaz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38524 Issued in CA

Practice address

851 Cherry Ave Ste 36
San Bruno, CA 94066-2954

Phone

(650) 873-9500

Fax

(640) 873-7328

NPI assigned

Oct 18, 2006

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

Practice roles

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.

• Luisa F Diaz DMD

  • Dentist
  • San Bruno, CA
  • NPI 1427832963
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316028178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 CHERRY AVE STE 36",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662954",
            "telephone_number": "650-873-9500",
            "fax_number": "640-873-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 CHERRY AVE STE 36",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662954",
            "telephone_number": "650-873-9500",
            "fax_number": "640-873-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARIA LUISA",
        "middle_name": "F",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amarilis Diaz
• Diego Diaz
• Janet Diaz
• Jeanelle Diaz, CMT
• Jezzika Rouj Diaz
• Tiffany Diaz
• Marcella Digel
• Laila Digras
• Lisa Dillon, BCBA
• Hannah Dineen

• General Practice Dentistry in San Bruno, CA
• Providers in San Bruno, CA by specialty
• General Practice Dentistry in California

• 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.

Verify at the official NPI Registry.