Diaz Medical Group Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DIAZ MEDICAL GROUP INC

Practice address

14550 Archwood St Ste B
Van Nuys, CA 91405-4628

Phone

(909) 217-8633

NPI assigned

Nov 22, 2021

Organization subpart

No

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

Authorized official

Name

King Nino Diaz, NP

Title

Nurse Practitioner

Phone

(909) 217-8633

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1669139945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 ARCHWOOD ST STE B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054628",
            "telephone_number": "909-217-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 ARCHWOOD ST STE B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054628",
            "telephone_number": "909-217-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-14",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "KING NINO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "909-217-8633",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Hospice Care Inc
• Diasound Services, Inc.
• Claudia Diaz Alarcon
• Dulce Diaz Gonzalez
• Juanita Diaz Hurtado
• Angelica Diaz, M.A.
• Angelica J Diaz
• Arlette Carina Diaz
• Carmen Diaz
• Jessica Diaz

• Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.