Wilfred J Diaz, PT, DPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT32926 Issued in CA

Practice address

4443 Levelside Ave
Lakewood, CA 90712-3753

Phone

(213) 399-7052

NPI assigned

Aug 4, 2006

Last updated

Nov 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Reischl Physical Therapy IncGroup PAC ID 6709825219, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reischl Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • Signal Hill, CA
  • NPI 1861412645
  Medicare reassignment Care Compare group NPD
• Navy Physical Therapy P.C.

  • Physical Therapist
  • Van Nuys, CA
  • NPI 1881392223
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1679581763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4443 LEVELSIDE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123753",
            "telephone_number": "213-399-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4443 LEVELSIDE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123753",
            "telephone_number": "213-399-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "WILFRED",
        "middle_name": "J",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT32926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamed, LLC. (Clarity DR)
• Diane Tran, O.D., Inc.
• Angelina Diaz
• Annette Diaz
• Sheryl Diaz
• Danielle Dickson
• Claude Diles III, CMPSS
• Gayle Diles
• Lori Dillman
• Lang Dinh DO

• Orthopedic Physical Therapist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.