Diana Lizbeth San Juan, QMHA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2421 Lancaster Dr NE
Salem, OR 97305-1220

Phone

(503) 361-2720

Fax

(503) 585-4990

NPI assigned

Oct 20, 2010

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1487964656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 E ELM CT",
            "city": "GERVAIS",
            "state": "OR",
            "postal_code": "970269780",
            "telephone_number": "971-218-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051220",
            "telephone_number": "503-361-2720",
            "fax_number": "503-585-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN JUAN",
        "first_name": "DIANA",
        "middle_name": "LIZBETH",
        "name_prefix": "Mrs.",
        "credential": "QMHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Samayoa
• Parya Samiei, PA-C
• Alexandria Samples
• Lori Jeanne Sampson
• Samuel R Kelly DMD LLC
• Veronica Sanchez-Leon, LCSW
• Cecilia Sanchez
• Danielle Sanchez, LCSW
• Jesus Juan Sanchez Sr.
• Patrick Sanchez

• Case Manager/Care Coordinator in Salem, OR
• Providers in Salem, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.