Jonathan Diaz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA47990 Issued in CA

Practice address

8730 Santa Monica Blvd Ste G
West Hollywood, CA 90069-4547

Phone

(310) 659-2740

Fax

(310) 959-2748

NPI assigned

May 30, 2016

Sex

Male

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

State licenses

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.

• Kaufmann Physical Therapy

  • Physical Therapy Clinic/Center
  • West Hollywood, CA
  • NPI 1932262748
  NPD (past)

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464566400000",
    "number": "1730537838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 SANTA MONICA BLVD STE G",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694547",
            "telephone_number": "310-659-2740",
            "fax_number": "310-959-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 SANTA MONICA BLVD STE G",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694547",
            "telephone_number": "310-659-2740",
            "fax_number": "310-959-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JONATHAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-30",
        "last_updated": "2016-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA47990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Diamond, M.D.
• Maranda L Diamond, CCC-SLP, TSSLD
• Nahal Dianat, PHARM.D.
• Frank Diaz, M.D., PH.D.
• John Francisco Diaz, M.D.
• Mridula Dilip
• Maggie Layne Diller, M.D.
• David Dindoffer
• Jennifer Ding
• Kim Dinh, PHARMD

• Physical Therapy Assistant in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; 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.