Josephine Diaz, BA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

250 Joann St
Costa Mesa, CA 92626-6455

Phone

(949) 631-9041

NPI assigned

Mar 26, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Special Service for Groups, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Los Angeles, CA
  • NPI 1982735932
  NPD (past)

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1710448576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 S VERMONT AVE STE A200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905024418",
            "telephone_number": "310-323-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 JOANN ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266455",
            "telephone_number": "949-631-9041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 Cloverfield Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904044007",
            "country_code": "US",
            "telephone_number": "310-883-1222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19401 S Vermont Ave Ste A200",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905024418",
            "country_code": "US",
            "telephone_number": "310-323-6887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JOSEPHINE",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aidan Rene Diaz
• Alejandro Diaz
• Arturo Diaz Jr., LCSW
• Brandy Alexandra Diaz
• David Michael Diaz, D.D.S.
• Junino Diaz
• Scott Dickerson
• Stephanie Dietz
• Starr Digiovanna
• Eden Marie Dilinila

• Mental Health Counselor in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.