Active NPI
Roberto Javier Diaz
- Independent Duty Corpsman
- San Diego, CA
National Provider Identifier
1508779448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- 1501 Island Ave Apt 324
San Diego, CA 92101-7986 - Phone
- (757) 287-5925
- NPI assigned
- Sep 23, 2026
- 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 |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
1501 Island Ave Apt 324
San Diego, CA 92101-7986
Mailing address
1501 Island Ave Apt 324
San Diego, CA 92101-7986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1508779448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 ISLAND AVE APT 324",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921017986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 ISLAND AVE APT 324",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921017986",
"telephone_number": "757-287-5925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ROBERTO",
"middle_name": "JAVIER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.