Individual provider Active NPI

Jose Dimas Diaz Lopez

  • Student in an Organized Health Care Education/Training Program
  • Santa Maria, CA
National Provider Identifier
1740827674
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
120 E Jones St
Santa Maria, CA 93454-5101
Phone
(805) 357-5787
NPI assigned
Dec 10, 2019
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Student in an Organized Health Care Education/Training Program 390200000X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

120 E Jones St
Santa Maria, CA 93454-5101

Mailing address

120 E Jones St
Santa Maria, CA 93454-5101
Phone (805) 925-8860

Other identifiers 3

IdentifierTypeStateIssuer
7420MedicaidCA
7068MedicaidCA
6758MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Council on Alcoholism and Drug Abuse CurrentSince May 1, 2024 Accepting new patients
Council of Alcoholism and Drug Abuse PastSince May 1, 2024 Accepting new patients

Locations

120 E Jones St
Santa Maria, CA 93454
Phone (707) 304-0393

526 E Chapel St
Santa Maria, CA 93454
Phone (805) 357-5781

Organizations & group practices 2

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1740827674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E JONES ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545101",
            "telephone_number": "805-925-8860",
            "fax_number": "805-928-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E JONES ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545101",
            "telephone_number": "805-357-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ LOPEZ",
        "first_name": "JOSE",
        "middle_name": "DIMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7420",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7068",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6758",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.