Active NPI
Pierre Michel Diaz
- Behavior Analyst
- Sherman Oaks, CA
National Provider Identifier
1609214725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11623826
- Practice address
- 13400 Riverside Dr
Ste 209
Sherman Oaks, CA 91423-2500 - Phone
- (818) 747-7113
- Fax
- (818) 747-7113
- NPI assigned
- Jun 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11623826 | CA | Primary |
Addresses
Primary practice location
13400 Riverside Dr
Ste 209
Sherman Oaks, CA 91423-2500
Mailing address
28245 Avenue Crocker
Ste 220
Valencia, CA 91355-0940
Phone (818) 747-7113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11623826 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurturing Nests Therapy Center | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Northridge, CA
- NPI 1780264481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1609214725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28245 AVENUE CROCKER",
"address_2": "STE 220",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913550940",
"telephone_number": "818-747-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 RIVERSIDE DR",
"address_2": "STE 209",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232500",
"telephone_number": "818-747-7113",
"fax_number": "818-747-7113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "PIERRE",
"middle_name": "MICHEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-11",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "11623826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.