Vlessyn Diaz, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

234 S Pacific Coast Hwy Ste 206
Redondo Beach, CA 90277-7037

Phone

(310) 798-9889

NPI assigned

Jun 4, 2021

Last updated

Jun 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Integrative Medical Center, Inc.

  • General Practice Physician
  • Redondo Beach, CA
  • NPI 1114571718
  NPD (past)

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1437726916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 5TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 S PACIFIC COAST HWY STE 206",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902777037",
            "telephone_number": "310-798-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "VLESSYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew James Deville, D.C., PA-C
• Josephina Olarita Dhungana, MFC
• Cheryl K.W. Diamond, M.D.
• Mark H Diamond, MD
• Rodolfo Diaz
• Dibagohar Chiropractic, a Professional Corporation
• Jane Ann Diehl, P.T.
• Pettie Dionisio
• Madeleine Leigh Dipaolo, DMD
• Discovery Psychological Assessment Center, Inc.

• Physical Therapist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.