Active NPI
Monique Norma Diaz, M.D.
- Physical Medicine & Rehabilitation Physician
- Arroyo Grande, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- C162717
- Practice address
- 850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929 - Phone
- (805) 547-2224
- Fax
- (805) 474-5246
- NPI assigned
- Jul 9, 2008
- Last updated
- Nov 2, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 125052851 | IL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | C162717 | CA | Primary |
Addresses
Primary practice location
850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929
Mailing address
850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929
Phone (805) 547-2224
Other practice location 1
840 S. Wood Street
CSN 130
Chicago, IL 60612
Phone (312) 996-3879
Other practice location 2
840 S. Wood Street
CSN 130
Chicago, IL 60612
Phone (312) 996-3879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C162717 | CA | MD | Physical Medicine & Rehabilitation Physician |
| 125052851 | IL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Central Coast Health Centers | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dignity Health Women's Center - Southwest
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1548423585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 FAIR OAKS AVE STE 220",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934203929",
"telephone_number": "805-547-2224",
"fax_number": "805-474-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 FAIR OAKS AVE STE 220",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934203929",
"telephone_number": "805-547-2224",
"fax_number": "805-474-5246"
}
],
"practiceLocations": [
{
"address_1": "840 S. Wood Street",
"address_2": "CSN 130",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60612",
"country_code": "US",
"telephone_number": "312-996-3879",
"fax_number": "312-413-1346",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "840 S. Wood Street",
"address_2": "CSN 130",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60612",
"country_code": "US",
"telephone_number": "312-996-3879",
"fax_number": "312-413-1346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "MONIQUE",
"middle_name": "NORMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "125052851",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "C162717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.