Leticia Maravilla Diaz

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1853 Lander Ave
Turlock, CA 95380-6240

Phone

(209) 656-1617

Fax

(209) 656-1626

NPI assigned

Oct 16, 2019

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

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

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baz Allergy Asthma and Sinus Center IncGroup PAC ID 6507770716, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.2 of 100Reported as group

Quality

88.57

Promoting interoperability

96

Improvement activities

40

Cost

75.43

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Baz Allergy, Asthma & Sinus Center, Inc.

  • Allergy Physician
  • Fresno, CA
  • NPI 1710906995
  Medicare reassignment Care Compare group
• Baz Allergy, Asthma & Sinus Center

  • Allergy Physician
  • Clovis, CA
  • NPI 1396328779
  NPD
• Baz Allergy, Asthma & Sinus Center, Inc.

  • Allergy Physician
  • Turlock, CA
  • NPI 1881074748
  NPD

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1346882800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7471 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202457",
            "telephone_number": "559-436-4500",
            "fax_number": "559-261-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 LANDER AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953806240",
            "telephone_number": "209-656-1617",
            "fax_number": "209-656-1626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2339 W Hammer Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952092368",
            "country_code": "US",
            "telephone_number": "209-940-5901",
            "fax_number": "209-336-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4411 Parquet Way",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953828630",
            "country_code": "US",
            "telephone_number": "209-720-6805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1429 W Fremont St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952032635",
            "country_code": "US",
            "telephone_number": "209-546-7767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LETICIA",
        "middle_name": "MARAVILLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Harrison LCSW
• Marianna Diaz Vargas
• Abel Diaz
• Amy A Diaz
• Gisela Diaz
• Wendy Diep, PHARMD
• Michelle A. Digiovanni, NP
• Lorraine Nanette Diraffaello, CRNA
• Rmani Dixon
• Doctors Medical Center of Modesto, Inc.

• Physician Assistant in Turlock, CA
• Providers in Turlock, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.