Active NPI
Ryan Keith Diaz
- Counselor
- La Puente, CA
National Provider Identifier
1386772721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 01-059232
- Practice address
- 15229 Amar Rd
La Puente, CA 91744-2066 - Phone
- (626) 855-5090
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- 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 | 01-059232 | CA | Primary |
Addresses
Primary practice location
15229 Amar Rd
La Puente, CA 91744-2066
Mailing address
3441 W. 2ND St. #219
Los Angeles, CA 90004
Phone (213) 384-5843
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 |
|---|---|---|---|
| 01-059232 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386772721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3441 W. 2ND ST. #219",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90004",
"telephone_number": "213-384-5843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15229 AMAR RD",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917442066",
"telephone_number": "626-855-5090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "RYAN",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "01-059232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.