Individual provider Active NPI

Joy Santillana Diores, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Covina, CA
National Provider Identifier
1689337776
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95019494 Issued in CA
Practice address
100 N Barranca St Ste 900
West Covina, CA 91791-1637
Phone
(626) 206-0523
Fax
(626) 206-0553
NPI assigned
Oct 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 95073474 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95019494 CA Primary

Addresses

Primary practice location

100 N Barranca St Ste 900
West Covina, CA 91791-1637

Mailing address

15519 Crenshaw Blvd
Gardena, CA 90249-4597

Other practice location 1

1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 771-8000

Other practice location 2

15519 Crenshaw Blvd
Gardena, CA 90249-4597
Phone (714) 716-1830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530002165 CA Practitioner - Nurse Practitioner 3678930062 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Home Care MD Medical GroupGroup PAC ID 8921437088, 15 clinicians

Practice addresses (Care Compare)

100 N Barranca St
West Covina, CA 91791-1637
Phone (626) 377-7608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95073474CAMDRegistered Nurse
95019494CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Home Care MD Medical Group Single Specialty CurrentSince Jun 1, 2023 Accepting new patients
Advanced Practice Wound Care and Psyche Specialist Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Grow Healthcare Group PC Single Specialty CurrentSince Mar 13, 2025 Accepting new patients
Lynda Lopez-Freyre FNP-C Professional Nursing Corporation Single Specialty PastSince Oct 15, 2023 Accepting new patients

Locations

10970 Arrow Rte
Ste 214
Rancho Cucamonga, CA 91730
Phone (626) 347-8548

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

100 N Barranca St
Ste 900J
West Covina, CA 91791
Phone (626) 377-7608

100 N Barranca St
Ste 900
West Covina, CA 91791
Phone (626) 206-0523

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1689337776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15519 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BARRANCA ST STE 900",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911637",
            "telephone_number": "626-206-0523",
            "fax_number": "626-206-0553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W Stewart Dr",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683849",
            "country_code": "US",
            "telephone_number": "714-771-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15519 Crenshaw Blvd",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902494597",
            "country_code": "US",
            "telephone_number": "714-716-1830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIORES",
        "first_name": "JOY",
        "middle_name": "SANTILLANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-16",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95073474",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.