Individual provider Active NPI

Cameron Diaz-Johnson, PHD, LP

  • Psychologist
  • Eugene, OR
National Provider Identifier
1407688443
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4313 Issued in OR
Practice address
940 Willamette St Ste 230
Eugene, OR 97401-3129
Phone
(541) 357-9764
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4313 OR Primary

Addresses

Primary practice location

940 Willamette St Ste 230
Eugene, OR 97401-3129

Mailing address

940 Willamette St Ste 230
Eugene, OR 97401-3129

Other names 1

  • Dr. Cameron Diaz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1407688443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 WILLAMETTE ST STE 230",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 WILLAMETTE ST STE 230",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013129",
            "telephone_number": "541-357-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-JOHNSON",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "4313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMERON",
            "last_name": "DIAZ",
            "prefix": "DR.",
            "credential": "PHD, LP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.