Holly Diaz-Bach

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0000 Issued in CA

Practice address

1116 Alice St
Modesto, CA 95350-5905

Phone

(209) 578-3132

Fax

(209) 579-9605

NPI assigned

Jun 11, 2007

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.

• Nirvana Drug and Alcohol Treatment Institute

  • Substance Abuse Rehabilitation Facility
  • Modesto, CA
  • NPI 1639539661
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649474164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1184",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953071184",
            "telephone_number": "209-505-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 ALICE ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505905",
            "telephone_number": "209-578-3132",
            "fax_number": "209-579-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-BACH",
        "first_name": "HOLLY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDICTION COUNSELOR",
            "identifier": "101YA0404OX",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yadira Diaz Caballero
• Nayely Diaz Gonzalez
• Valeria Diaz Gutierrez
• Claudia Paola Diaz Herrera
• Diana Diaz Luvian
• Julian Diaz-Moreno, MD
• Alejandra Diaz
• Alyssa Diaz
• Anna Maria Diaz, LCSW
• Dominique A Diaz

• Addiction (Substance Use Disorder) Counselor in Modesto, CA
• Providers in Modesto, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.