Active NPI
Maria H. Diaz, ASW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1679821144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW35467
- Practice address
- 1465 30TH St
Suite K
San Diego, CA 92154-3497 - Phone
- (619) 428-1000
- Fax
- (619) 428-1091
- NPI assigned
- Aug 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW35467 | CA | Primary |
Addresses
Primary practice location
1465 30TH St
Suite K
San Diego, CA 92154-3497
Mailing address
1465 30TH Street
Suite K
San Diego, CA 92154-1352
Phone (619) 428-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | Other | CA | LIHP |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW35467 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1679821144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 30TH STREET",
"address_2": "SUITE K",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921541352",
"telephone_number": "619-428-1000",
"fax_number": "619-428-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 30TH ST",
"address_2": "SUITE K",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543497",
"telephone_number": "619-428-1000",
"fax_number": "619-428-1091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "MARIA",
"middle_name": "H.",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW35467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIHP",
"identifier": "N/A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.