Individual provider Active NPI

Jennifer Torres Diaz, DMD

  • General Practice Dentistry
  • Roseville, CA
National Provider Identifier
1558284364
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
113528 Issued in CA
Practice address
372 N Sunrise Ave Ste 200
Roseville, CA 95661-2812
Phone
(916) 839-3039
NPI assigned
Jul 30, 2026
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 113528 CA Primary

Addresses

Primary practice location

372 N Sunrise Ave Ste 200
Roseville, CA 95661-2812

Mailing address

508 Douglas St Unit 204
West Sacramento, CA 95605-2510
Phone (209) 605-7287

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

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1558284364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 DOUGLAS ST UNIT 204",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956052510",
            "telephone_number": "209-605-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 N SUNRISE AVE STE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612812",
            "telephone_number": "916-839-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES DIAZ",
        "first_name": "JENNIFER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "113528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.