Maguen Landa-Samano Diaz

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

60834054 Issued in WA

Practice address

220 Germantown Rd
Toppenish, WA 98948-9605

Phone

(509) 832-3124

NPI assigned

Oct 3, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: maguen.diaz.1@30756.direct.athenahealth.com

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1447735667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 GERMANTOWN RD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989489605",
            "telephone_number": "509-832-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GERMANTOWN RD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989489605",
            "telephone_number": "509-832-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MAGUEN",
        "middle_name": "LANDA-SAMANO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60834054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "60834054",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria De Los Angeles Delgado
• Jesse Myron Dempsen
• Jennifer Dawn Denman
• Eriberto Guadalupe Diaz
• Erica G Diaz, CG61549971
• Yanina Diaz
• Carlos M Dibble, M.D.
• Sharon Dietrich, MD
• Joshua Dingle, RN
• Erin Colleen Donahue, M.D.

• Addiction (Substance Use Disorder) Counselor in Toppenish, WA
• Providers in Toppenish, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.