Individual provider Active NPI

Porscha Diaz

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1689244477
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
124699 Issued in CA
Practice address
8406 Lake Ben Ave
San Diego, CA 92119-2630
Phone
(619) 964-2218
NPI assigned
Jun 25, 2021
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 124699 CA Primary

Addresses

Primary practice location

8406 Lake Ben Ave
San Diego, CA 92119-2630

Mailing address

8406 Lake Ben Ave
San Diego, CA 92119-2630
Phone (619) 964-2218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240117000671 TX Practitioner - Marriage and Family Therapist 8325490279 Reassigns benefits to 1 organization
I20240129000082 CA Practitioner - Marriage and Family Therapist 8325490279 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Indian Health CouncilGroup PAC ID 9830221449, shared by 2 NPIs, 18 clinicians

Practice addresses (Care Compare)

4058 Willows Rd
Alpine, CA 91901-1668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince May 15, 2024 Accepting new patients
Southern Indian Health Council CurrentSince Jan 1, 2024 Accepting new patients
Southern Indian Health Council CurrentSince Jan 1, 2024 Accepting new patients
Southern Indian Health Council Current Accepting new patients
Matters of the Heart Counseling Centers, a Marriage & Family Therapy Corproation Marriage & Family Therapist Past Accepting new patients
Karim Lotfy-Mohammed MD PC Past Accepting new patients
Southern Indian Health Council Past Accepting new patients

Locations

4058 Willows Rd
Alpine, CA 91901
Phone (619) 445-1188

5001 Willows Rd
Ste J111
Alpine, CA 91901
Phone (619) 445-1188

5005 Willows Rd
#J111
Alpine, CA 91901
Phone (619) 445-1188

8 Crestwood Rd
Boulevard, CA 91905
Phone (619) 445-1188

36350 Church Rd
Campo, CA 91906
Phone (619) 445-1188

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1689244477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 LAKE BEN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192630",
            "telephone_number": "619-964-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 LAKE BEN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192630",
            "telephone_number": "619-964-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "PORSCHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.