Organization Active NPI

Diaz Anesthesia Services Inc

  • Anesthesiology Physician
  • Encino, CA
National Provider Identifier
1417283797
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A89528 Issued in CA
Legal business name
DIAZ ANESTHESIA SERVICES INC
Practice address
5400 Balboa Blvd
Ste. #111
Encino, CA 91316-1502
Phone
(818) 784-8975
NPI assigned
Oct 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Nathaniel Diaz, MD
Title
President Sole Owner
Phone
(818) 888-7815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A89528 CA Primary

Addresses

Primary practice location

5400 Balboa Blvd
Ste. #111
Encino, CA 91316-1502

Mailing address

PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815

National Provider Directory

National Provider Directory

Locations

716 W Broadway
Glendale, CA 91204
Phone (818) 243-9999

801 S Chevy Chase Dr
Ste 106
Glendale, CA 91205
Phone (818) 265-2275

73950 Alessandro Dr
Palm Desert, CA 92260
Phone (760) 568-5381

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1417283797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD",
            "address_2": "STE. #111",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161502",
            "telephone_number": "818-784-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ ANESTHESIA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT SOLE OWNER",
        "authorized_official_telephone_number": "818-888-7815",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A89528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.