Selena Marie Diaz

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

67509 Issued in CA

Practice address

15350 Nordhoff St Ste a
North Hills, CA 91343-2234

Phone

(818) 672-8228

NPI assigned

Oct 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Westcoastdental

  • Dental Clinic/Center
  • North Hills, CA
  • NPI 1780975755
  NPD (past)

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1639629157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13837 RUNNYMEDE ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 NORDHOFF ST STE A",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913432234",
            "telephone_number": "818-672-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "SELENA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "67509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67509",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Griffin Dengel, DDS
• Arianna Deredita
• Natalie Saya Des Marais
• Devoted Health Hospice
• Ana Karen Diaz Sanchez, LCSW
• Lynette Dilanchyan, OD
• Nicholas Dinh, DMD
• Autum S Dixon
• Sam S Djang
• Domestic Care Provider

• Dental Assistant in North Hills, CA
• Providers in North Hills, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.