Individual provider Active NPI

Yulisa Garcia Diaz, PA

  • Physician Assistant
  • Calistoga, CA
National Provider Identifier
1710789946
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
67461 Issued in CA
Practice address
PO Box 1003
Calistoga, CA 94515-6003
Phone
(707) 360-5937
NPI assigned
Mar 26, 2025
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 67461 CA Primary

Addresses

Primary practice location

PO Box 1003
Calistoga, CA 94515-6003

Mailing address

PO Box 1003
Calistoga, CA 94515-6003

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
I20260226003198 CA Practitioner - Physician Assistant 4981185915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

11815 Education St
Auburn, CA 95602-2410
Phone (530) 888-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
67461CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Feb 16, 2026 Accepting new patients
Cep America-California CurrentSince Feb 16, 2026 Accepting new patients

Locations

11815 Education St
Auburn, CA 95602
Phone (530) 447-6267

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

Organizations & group practices 3

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": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1710789946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1003",
            "city": "CALISTOGA",
            "state": "CA",
            "postal_code": "945156003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1003",
            "city": "CALISTOGA",
            "state": "CA",
            "postal_code": "945156003",
            "telephone_number": "707-360-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA DIAZ",
        "first_name": "YULISA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "67461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calistoga, CA

Sources for this page

Verify at the official NPI Registry.