Diaz Bernhard Inc.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

SA00240 Issued in TX

Legal business name

DIAZ BERNHARD INC.

Practice address

11607 Bay Ledge Dr
Pearland, TX 77584-8189

Phone

(713) 806-0896

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rafael R Diaz, M.DNPI 1417165432

Title

Surgical Asst

Phone

(713) 806-0896

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafael Roberto Diaz, MD.CSA

  • Physician Assistant
  • Pearland, TX
  • NPI 1417165432
  NPD (past) Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588872162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11607 BAY LEDGE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848189",
            "telephone_number": "713-806-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11607 BAY LEDGE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848189",
            "telephone_number": "713-806-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ BERNHARD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SURGICAL ASST",
        "authorized_official_telephone_number": "713-806-0896",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "SA00240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURGICAL ASST.",
            "identifier": "SA00240",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diabetes Wellness Clinic PLLC
• Dialyspa V, LLC
• Farid Dian, DMD
• Irene Samantha Diango
• Dianne Bui Dao OD PC
• Alyssa Diaz
• Ivette Diaz, DDS
• Maria Diaz
• Rafael Roberto Diaz, MD.CSA
• Stephanie Shafer Diaz, PT

• Physician Assistant in Pearland, TX
• Providers in Pearland, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.