Tara Diaz, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

15635 Issued in CA

Practice address

519 Main St
El Segundo, CA 90245

Phone

(424) 258-0738

NPI assigned

Oct 28, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tara Schachter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tara Diaz Wellness

  • Acupuncturist
  • El Segundo, CA
  • NPI 1013445352
  NPD (past)

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1407284581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 MAIN ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453006",
            "telephone_number": "424-258-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 MAIN ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "90245",
            "telephone_number": "424-258-0738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8939 S Sepulveda Blvd",
            "address_2": "Suite 430",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900453631",
            "country_code": "US",
            "telephone_number": "424-258-0738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "TARA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "SCHACHTER",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lo-Amy Diaz
• Lucia Diaz
• Luis Daniel Diaz
• Priscila Diaz
• Sherlyn Diaz
• Homan Dibagohar, D.C.
• Katy Dibene
• Madelyn Lee Dick
• Haven Dickinson
• Bator Dieng

• Acupuncturist in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.