NPIMap

Individual provider Active NPI

Deborah Jane Diaz, P.A.C.

  • Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1568613479
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104741 Issued in FL
Practice address
2800 S Seacrest Blvd Ste 140
Boynton Beach, FL 33435-7943
Phone
(561) 734-2746
Fax
(561) 734-4705
NPI assigned
Oct 9, 2008
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104741 FL Primary

Addresses

Primary practice location

2800 S Seacrest Blvd Ste 140
Boynton Beach, FL 33435-7943

Mailing address

2800 S Seacrest Blvd Ste 140
Boynton Beach, FL 33435-7943
Phone (561) 734-2746

Other identifiers 1

IdentifierTypeStateIssuer
PA9104741OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000668 FL Practitioner - Physician Assistant 2567521123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

2800 S Seacrest Blvd
Suite 140
Boynton Beach, FL 33435-7943
Phone (561) 734-2746

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9104741FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc CurrentSince Oct 1, 2020 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

2800 S Seacrest Blvd
Ste 140
Boynton Beach, FL 33435
Phone (561) 734-2746

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

Interoperability endpoints

  • Direct secure messaging: deborah.diaz.1@26289.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1568613479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD STE 140",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357943",
            "telephone_number": "561-734-2746",
            "fax_number": "561-734-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD STE 140",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357943",
            "telephone_number": "561-734-2746",
            "fax_number": "561-734-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DEBORAH",
        "middle_name": "JANE",
        "credential": "P.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA9104741",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.