Peter Joseph Diaz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

297569 Issued in CA

Practice address

1 Peters Canyon Rd Ste 120
Irvine, CA 92606-1748

Phone

(949) 679-3988

NPI assigned

Nov 14, 2019

Last updated

May 30, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

G3 Physical Therapy and Wellness Center PCGroup PAC ID 6204139744, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• G3 Physical Therapy and Wellness Center PC

  • Physical Therapist
  • Solana Beach, CA
  • NPI 1669845798
  Medicare reassignment Care Compare group NPD
• Rise Physical Therapy Inc

  dba SoCal Elite Physical Therapy

  • Physical Therapy Clinic/Center
  • Solana Beach, CA
  • NPI 1083038764

  Physical Therapist

  NPD

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590796800000",
    "number": "1770128621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PETERS CANYON RD STE 120",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061748",
            "telephone_number": "949-679-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PETERS CANYON RD STE 120",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061748",
            "telephone_number": "949-679-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.socalelitephysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12 Mauchly Ste P",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926186309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana M Girnita MD PC (Rheumatologist OnCall)
• Diane Boval DDS a Community Dental Corp. (Gold Coast Dental Irvine)
• Diana Xavier Dias
• Brittany Raeann Diaz
• Ilse Ivette Diaz
• Rebecca Diaz
• Susana Diaz
• Andrew Jason Didonato
• Jordyn Diebolt
• John Dieckhoff Jr., M.D.

• Physical Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.