Active NPI
Anthony Bryan Diaz
- Behavior Technician
- Glendale, CA
National Provider Identifier
1457994303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 201 N Brand Blvd Ofc 233
Glendale, CA 91203-3588 - Phone
- (818) 722-1770
- Fax
- (855) 568-2494
- NPI assigned
- Oct 23, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
201 N Brand Blvd Ofc 233
Glendale, CA 91203-3588
Mailing address
201 N Brand Blvd Ofc 233
Glendale, CA 91203-3588
Phone (818) 722-1770
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Frontiers, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1457994303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N BRAND BLVD OFC 233",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912033588",
"telephone_number": "818-722-1770",
"fax_number": "855-568-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N BRAND BLVD OFC 233",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912033588",
"telephone_number": "818-722-1770",
"fax_number": "855-568-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ANTHONY",
"middle_name": "BRYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-23",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.