Active NPI
Diego Luis Durand Quiroga, MS.SLP
- Speech-Language Pathologist
- Fresno, CA
National Provider Identifier
1568245462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 29626
- Practice address
- 1752 E Bullard Ave Ste 101
Fresno, CA 93710-5864 - Phone
- (559) 970-8277
- NPI assigned
- Aug 15, 2023
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 29626 | CA | Primary |
Addresses
Primary practice location
1752 E Bullard Ave Ste 101
Fresno, CA 93710-5864
Mailing address
9263 N Saybrook Dr Apt 205
Fresno, CA 93720-0822
Phone (925) 548-6813
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29626 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1568245462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9263 N SAYBROOK DR APT 205",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200822",
"telephone_number": "925-548-6813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1752 E BULLARD AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105864",
"telephone_number": "559-970-8277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAND QUIROGA",
"first_name": "DIEGO",
"middle_name": "LUIS",
"credential": "MS.SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "29626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.