Mardy Lindt Fionne Diaz

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95031026 Issued in CA

Practice address

12742 Limonite Ave
Eastvale, CA 92880-9630

Phone

(951) 782-3818

Fax

(951) 371-6586

NPI assigned

Feb 27, 2019

Last updated

Aug 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Temecula Valley Family Physicians Inc.

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1033323746
  NPD (past)

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1346707221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12742 LIMONITE AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809630",
            "telephone_number": "951-782-3818",
            "fax_number": "951-371-6586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3989 W Stetson Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925459697",
            "country_code": "US",
            "telephone_number": "951-929-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21634 Retreat Pkwy",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928836100",
            "country_code": "US",
            "telephone_number": "951-782-3818",
            "fax_number": "951-826-8128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARDY LINDT FIONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95031026",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palak Desai
• Mark Robert Dewoskin, PHARM.D.
• Mrinal Dhar, MD
• Dhruv Physician Assistant
• Evelyn P Diaz, BA
• Martha Alicia Diaz
• Blaise Njieya Djeugoue, FNP
• Quang DO, DC
• Peter Dung-Quoc Doan, MD
• Arvin John Liwag Domingo

• Nurse Practitioner in Eastvale, CA
• Providers in Eastvale, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.

Verify at the official NPI Registry.