Carolyn Alice Diaz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

470229 Issued in CA

Practice address

222 W Henderson Ave
Porterville, CA 93257-1731

Phone

(559) 784-5483

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carolyn Alice Parsons, Pugh Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Erick Madrigal, MD, Mba, Inc.

  • Family Medicine Physician
  • Porterville, CA
  • NPI 1609124692
  Medicare reassignment NPD
• Erick Madrigal MD Mba Inc

  • Rural Health Clinic/Center
  • Lindsay, CA
  • NPI 1295544682
  NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1366495368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 N ARBOR AVE",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932308111",
            "telephone_number": "559-359-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W HENDERSON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571731",
            "telephone_number": "559-784-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CAROLYN",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "470229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "PARSONS, PUGH",
            "middle_name": "ALICE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Satwant S Dhillon, M.D.
• Rohin Dhir, MD
• Michael Frank Thomas Di Lorenzo III, M.D.
• Dialysis Center of Porterville LLC
• Griselda Diaz Torres, ACSW
• Elizabeth Diaz, ASW
• Luis Eduardo Diaz
• Jefmar Daniel Dickey, PHARMD
• Marylou G. Dickey, FNP
• Phoebe Phuong Dinh

• Family Nurse Practitioner in Porterville, CA
• Providers in Porterville, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.