Itzel Karina Diaz Andrade

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

R1336580119 Issued in CA

Practice address

44199 Monroe St Ste a
Indio, CA 92201-3096

Phone

(760) 863-8329

NPI assigned

May 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1609442730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49177 SIERRA ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922363253",
            "telephone_number": "760-698-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 MONROE ST STE A",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013096",
            "telephone_number": "760-863-8329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49177 Sierra St",
            "address_purpose": "LOCATION",
            "city": "Coachella",
            "state": "CA",
            "postal_code": "922363253",
            "country_code": "US",
            "telephone_number": "760-698-3559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ ANDRADE",
        "first_name": "ITZEL",
        "middle_name": "KARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-30",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1336580119",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "R1336580119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Physical Medicine & Pain Management
• Desert Prosthetics & Orthotics Group
• Desert Prosthetics & Orthotics Inc.
• Luz Yanitza Devlin
• Barbara Patricia Diamond, RN
• Cyndy Diaz Castro
• Naydelin Diaz Cisneros
• Maria Dolores Diaz Padilla
• Maria Teresa Diaz Rodarte
• Efren Diaz-Mora

• Case Manager/Care Coordinator in Indio, CA
• Providers in Indio, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.