Active NPI
Elizabeth Diaz
- Counselor
- Santa Ana, CA
National Provider Identifier
1366206633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5730
- Practice address
- 600 W Santa Ana Blvd Ste 600
Santa Ana, CA 92701-4552 - Phone
- (714) 953-4455
- NPI assigned
- Feb 7, 2024
- Last updated
- Mar 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5730 | CA | Primary |
Addresses
Primary practice location
600 W Santa Ana Blvd Ste 600
Santa Ana, CA 92701-4552
Mailing address
PO Box 6062
Santa Ana, CA 92706-0062
Phone (714) 883-4937
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 |
|---|---|---|---|
| 5730 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Guidance Center, Inc. | Current | Accepting new patients |
Locations
600 W Santa Ana Blvd
Ste 600
Santa Ana, CA 92701
Phone (714) 871-9264
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Santa Ana, CA
- NPI 1033238944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1366206633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6062",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927060062",
"telephone_number": "714-883-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W SANTA ANA BLVD STE 600",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014552",
"telephone_number": "714-953-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "5730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.