Individual provider Active NPI

Jose Luis Diego, M.D.

  • Surgery Physician
  • Modesto, CA
National Provider Identifier
1578917936
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A185841 Issued in CA
Practice address
1317 Oakdale Rd Ste 420
Modesto, CA 95355-3364
Phone
(209) 522-3362
NPI assigned
Apr 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036161333 IL
Surgery Physician 208600000X A185841 CA Primary

Addresses

Primary practice location

1317 Oakdale Rd Ste 420
Modesto, CA 95355-3364

Mailing address

1516 Trails Way
Modesto, CA 95357-0622
Phone (209) 581-3052

Other practice location 1

2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdiego164136@direct.luhs.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926004056 CA Practitioner - General Surgery 3476935438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1317 Oakdale Rd
Suite 440
Modesto, CA 95355-3364
Phone (209) 522-3362

Hospital & facility affiliations

  • Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Removal of tissue226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A185841CAMDSurgery Physician
036161333ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Medical Care a Professional Corporation CurrentSince Oct 1, 2023 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Family First Medical Care a Professional Corporation CurrentSince Oct 1, 2023 Accepting new patients
Presence Central and Suburban Hospitals Network Past Accepting new patients
Gottlieb Memorial Hospital Past Accepting new patients
Presence Central and Suburban Hospitals Network Past Accepting new patients

Locations

1317 Oakdale Rd
Ste 440
Modesto, CA 95355
Phone (209) 522-3362

1317 Oakdale Rd
Ste 420
Modesto, CA 95355
Phone (209) 522-3362

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1578917936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 TRAILS WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953570622",
            "telephone_number": "209-581-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 OAKDALE RD STE 420",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553364",
            "telephone_number": "209-522-3362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-216-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEGO",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-21",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036161333",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A185841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdiego164136@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.