Jessica H Diaz, MD
Individual provider Active NPI Family Medicine Physician · Medford, OR
NPI 1578645404 · NPPES record last updated Jan 23, 2020
Key facts
- NPI
- 1578645404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD25640 (OR)
- Practice address
- 730 Biddle Rd
Medford, OR 97504-6116 - Phone
- (541) 494-3800
- Fax
- (541) 494-0895
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- La Clinica del Valle Family Health Care Center Inc
Practice addresses (Care Compare)
730 Biddle Rd
Medford, OR 97504-6116
Phone (541) 494-3800
Hospital & facility affiliations
- Asante Rogue Regional Medical Center
- Providence Medford Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050725001076 | OR | Practitioner - Family Practice | 1456388073 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25640 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica del Valle Family Health Care Center Inc. | Current |
Accepting new patients | |
| La Clinica del Valle Family Health Care Center Inc. | Current |
Accepting new patients |
Locations
931 Chevy Way
Medford, OR 97504
Phone (541) 690-3555
1307 W Main St
Medford, OR 97501
Phone (541) 618-1314
730 Biddle Rd
Medford, OR 97504
Phone (541) 210-5674
3617 S Pacific Hwy
Medford, OR 97501
Phone (541) 512-3182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD25640 | OR | Yes |
Addresses
Primary practice location
730 Biddle Rd
Medford, OR 97504-6116
Mailing address
931 Chevy Way
Medford, OR 97504-4127
Phone (541) 690-3555
Other providers in Medford, OR
- Richard B Dewitt
- Sarah Dewolf
- Elena Dflores
- Maritza Diaz Arias
- Alexa Diaz
- Jessica Lynn Diaz
- Laura Teresa Diaz
- Lauren Diaz
- Charles R Dibb
- Ashley Dicharry
All providers in Medford, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.