Lourdes F Diaz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52373 Issued in CA

Practice address

24541 Pacific Park Dr Ste 105
Aliso Viejo, CA 92656-3050

Phone

(949) 643-7047

Fax

(949) 643-7049

NPI assigned

Jun 10, 2013

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1487092631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR STE 105",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563050",
            "telephone_number": "949-643-7047",
            "fax_number": "949-643-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR STE 105",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563050",
            "telephone_number": "949-643-7047",
            "fax_number": "949-643-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LOURDES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denik Transportation
• Bahman Derakhshan, DMD
• Spencer Dewberry, MA
• Sharon Dhingra
• Dialani Dental Corporation
• Dindot Medical Services
• Dean Dixon, M.A., RADT
• Doctors Medical Equipment LLC
• Negar Doroudian
• Dr Peter L Rich Optometry Corp

• General Practice Dentistry in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.