Sergio Diaz, PHYSICIAN ASSISTANT

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TXPA04894 Issued in TX

Practice address

110 E Savannah Ave BLDG A204
McAllen, TX 78503-1239

Phone

(956) 686-4040

Fax

(956) 630-6088

NPI assigned

Apr 10, 2009

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sergiodiaz@jtjs.ssdirect.aprima.com

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.

• McAllen Family Urgent Care PLLC

  • Urgent Care Clinic/Center
  • McAllen, TX
  • NPI 1457206468
  Medicare reassignment NPD Authorized official
• McAllen Primary Care Clinic PLLC

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1396690301
  Medicare reassignment NPD Authorized official
• JT JS, LLP

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1982657870
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1740423474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E SAVANNAH AVE BLDG A204",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031239",
            "telephone_number": "956-686-4040",
            "fax_number": "956-630-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SAVANNAH AVE BLDG A204",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031239",
            "telephone_number": "956-686-4040",
            "fax_number": "956-630-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "SERGIO",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "TXPA04894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Diaz, LMT
• Judjee Diaz, DNP, FNP-BC, ENP-C
• Lauro Steven Diaz
• Melissa Diaz
• Olga Diaz, O.T.R.
• Teresa Diaz
• Yvonne Diaz, O.D.
• Diego Rodriguez M.D. P.a
• Diel Logisitics LLC
• Chigozie Christine Dike, MD

• Family Medicine Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.