Individual provider Active NPI

Diana Marie Bargas, B.A.

  • Mental Health Counselor
  • Colton, CA
National Provider Identifier
1629313556
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
D8783070 Issued in CA
Practice address
790 Via Lata
Suite 250
Colton, CA 92324-3978
Phone
(909) 433-0445
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X D8783070 CA Primary

Addresses

Primary practice location

790 Via Lata
Suite 250
Colton, CA 92324-3978

Mailing address

790 Via Lata
Suite 250
Colton, CA 92324-3978
Phone (909) 433-0445

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
D8783070CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1629313556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 VIA LATA",
            "address_2": "SUITE 250",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243978",
            "telephone_number": "909-433-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 VIA LATA",
            "address_2": "SUITE 250",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243978",
            "telephone_number": "909-433-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGAS",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "D8783070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.