Active NPI
Antonia Tan Diaz, BSN,RN
- Ambulatory Women's Health Care Registered Nurse
- Riverside, CA
National Provider Identifier
1437947538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- 95400636
- Practice address
- 3772 Tibbetts St
Riverside, CA 92506-2605 - Phone
- (888) 743-7526
- NPI assigned
- Apr 28, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 95400636 | CA | Primary |
Addresses
Primary practice location
3772 Tibbetts St
Riverside, CA 92506-2605
Mailing address
3772 Tibbetts St
Riverside, CA 92506-2605
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95400636 | CA | MD | Ambulatory Women's Health Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1437947538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3772 TIBBETTS ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3772 TIBBETTS ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062605",
"telephone_number": "888-743-7526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ANTONIA",
"middle_name": "TAN",
"credential": "BSN,RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "CA",
"license": "95400636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.