Individual provider Active NPI

Kristina Marie Diaz, MD

  • Family Medicine Physician
  • Yuma, AZ
National Provider Identifier
1407053556
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43126 Issued in AZ
Practice address
2500 S 8TH Ave Ste 200
Yuma, AZ 85364-7158
Phone
(283) 367-0959
Fax
(928) 336-7256
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 43126 AZ
Family Medicine Physician 207Q00000X 43126 AZ Primary

Addresses

Primary practice location

2500 S 8TH Ave Ste 200
Yuma, AZ 85364-7158

Mailing address

2400 S Avenue a
Yuma, AZ 85364-7170
Phone (928) 344-2000

Other practice location 1

2400 S Avenue A
Yuma, AZ 85364-7170
Phone (928) 344-2000

Other identifiers 1

IdentifierTypeStateIssuer
534796MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000190 AZ Practitioner - Family Practice 3274725635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Yuma, AZ, CCN 037192
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43126AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Sep 1, 2015 Accepting new patients
Yuma Regional Medical Center CurrentSince Sep 1, 2015 Accepting new patients
Yuma Regional Cancer Center, LLC PastSince Aug 3, 2010 Accepting new patients

Locations

2500 S 8th Ave
Ste 200
Yuma, AZ 85364
Phone (928) 336-7095

2270 S Ridgeview Dr
Ste 200
Yuma, AZ 85364
Phone (602) 391-7191

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2270 S Ridgeview Dr
Ste 303
Yuma, AZ 85364
Phone (928) 336-2575

2851 S Avenue B
Bldg 25
Yuma, AZ 85364
Phone (928) 336-7020

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1407053556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647170",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S 8TH AVE STE 200",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647158",
            "telephone_number": "283-367-0959",
            "fax_number": "928-336-7256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647170",
            "country_code": "US",
            "telephone_number": "928-344-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "43126",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "43126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "534796",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.