Active NPI
Sofia Julie Diaz-Caporgno, RCP
- Certified Respiratory Therapist
- Manteca, CA
National Provider Identifier
1427512862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 18198
- Practice address
- 1777 W Yosemite Ave
Manteca, CA 95337-5130 - Phone
- (208) 825-3656
- NPI assigned
- Jan 30, 2019
- Last updated
- Jan 30, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 18198 | CA | Primary |
Addresses
Primary practice location
1777 W Yosemite Ave
Manteca, CA 95337-5130
Mailing address
3867 Van Dusen Ave
Riverbank, CA 95367-3028
Phone (209) 869-3648
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 |
|---|---|---|---|
| 18198 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1427512862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3867 VAN DUSEN AVE",
"city": "RIVERBANK",
"state": "CA",
"postal_code": "953673028",
"telephone_number": "209-869-3648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 W YOSEMITE AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953375130",
"telephone_number": "208-825-3656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-CAPORGNO",
"first_name": "SOFIA",
"middle_name": "JULIE",
"name_prefix": "Mrs.",
"credential": "RCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-30",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "CA",
"license": "18198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.