Active NPI
Joe Castillo Diaz III, LPT
- Licensed Psychiatric Technician
- Los Angeles, CA
National Provider Identifier
1750823910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT37201
- Practice address
- 3881 S Western Ave
Los Angeles, CA 90062-1105 - Phone
- (323) 290-4349
- Fax
- (323) 293-8159
- NPI assigned
- Nov 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT37201 | CA | Primary |
Addresses
Primary practice location
3881 S Western Ave
Los Angeles, CA 90062-1105
Mailing address
1667 Vejar St
Pomona, CA 91766-2530
Phone (909) 568-3126
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT37201 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1750823910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1667 VEJAR ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917662530",
"telephone_number": "909-568-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3881 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900621105",
"telephone_number": "323-290-4349",
"fax_number": "323-293-8159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "JOE",
"middle_name": "CASTILLO",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-04",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT37201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.