Active NPI
Karina Emmanuelle Diaz, MD
- Psychiatry Physician
- San Jose, CA
National Provider Identifier
1366025835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- PTL11906
- Practice address
- 5053 Impatiens Dr
San Jose, CA 95111-3926 - Phone
- (408) 504-8427
- NPI assigned
- May 3, 2021
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | PTL11906 | CA | Primary |
Addresses
Primary practice location
5053 Impatiens Dr
San Jose, CA 95111-3926
Mailing address
5053 Impatiens Dr
San Jose, CA 95111-3926
Phone (408) 504-8427
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL11906 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1366025835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5053 IMPATIENS DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951113926",
"telephone_number": "408-504-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5053 IMPATIENS DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951113926",
"telephone_number": "408-504-8427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "KARINA",
"middle_name": "EMMANUELLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "PTL11906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.