Active NPI
Mary Jo Diaz
- Foster Care Agency
- Merced, CA
National Provider Identifier
1760032312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- Practice address
- 1022 W 18TH St
Merced, CA 95340-4505 - Phone
- (209) 349-1530
- NPI assigned
- Sep 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | Primary | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
1022 W 18TH St
Merced, CA 95340-4505
Mailing address
1022 W 18TH St
Merced, CA 95340-4505
Phone (209) 349-1530
Other practice location 1
2841 G St
Merced, CA 95340-2133
Phone (209) 722-0202
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1760032312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 W 18TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953404505",
"telephone_number": "209-349-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 W 18TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953404505",
"telephone_number": "209-349-1530"
}
],
"practiceLocations": [
{
"address_1": "2841 G St",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953402133",
"country_code": "US",
"telephone_number": "209-722-0202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "MARY",
"middle_name": "JO",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.