Active NPI
Josue Diaz
- Student in an Organized Health Care Education/Training Program
- Santa Fe Springs, CA
National Provider Identifier
1578944229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- D4363105
- Legal business name
- JOSUE DIAZ
- Practice address
- 11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674 - Phone
- (562) 949-8455
- NPI assigned
- Jun 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Josue Diaz
- Title
- Social Work Intern
- Phone
- (562) 261-3789
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | D4363105 | CA | Primary |
Addresses
Primary practice location
11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674
Mailing address
11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674
National Provider Directory
National Provider DirectoryLocations
11721 Telegraph Rd
Santa Fe Springs, CA 90670
Phone (562) 801-0318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434499200000",
"number": "1578944229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11721 TELEGRAPH RD",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906703674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11721 TELEGRAPH RD",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906703674",
"telephone_number": "562-949-8455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSUE DIAZ",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-17",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "JOSUE",
"authorized_official_title_or_position": "SOCIAL WORK INTERN",
"authorized_official_telephone_number": "562-261-3789",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "D4363105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.