Active NPI
Carlos Ivan Diaz-Rios, OTR/L
- Occupational Therapist
- Martinez, CA
National Provider Identifier
1447772009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13234
- Practice address
- 150 Muir Rd
Martinez, CA 94553 - Phone
- (925) 372-2216
- NPI assigned
- Jul 14, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13234 | CA | Primary |
Addresses
Primary practice location
150 Muir Rd
Martinez, CA 94553
Mailing address
150 Muir Rd
Martinez, CA 94553-4668
Phone (925) 372-2216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT13234 | Other | CA | CBOT |
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 |
|---|---|---|---|
| 13234 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1447772009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MUIR RD",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945534668",
"telephone_number": "925-372-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MUIR RD",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "94553",
"telephone_number": "925-372-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-RIOS",
"first_name": "CARLOS",
"middle_name": "IVAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "13234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBOT",
"identifier": "OT13234",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.