William August Diez Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

53022 Issued in CA

Practice address

330 Alabama St Ste D
Redlands, CA 92373-8097

Phone

(855) 901-0911

NPI assigned

Oct 1, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• 911 Biocare LLC

  • Pain Medicine Physician
  • Redlands, CA
  • NPI 1912240623
  NPD (past)
• Cep America

  • General Acute Care Hospital
  • Colton, CA
  • NPI 1750759445
  NPD (past)
• Cep-America, Osa

  • General Acute Care Hospital
  • Colton, CA
  • NPI 1821467937
  NPD (past)
• Premier Emergency Physicians of California Medical Group PC

  • Emergency Medicine Physician
  • Barstow, CA
  • NPI 1225289135

  Physician Assistant

  NPD (past)
• Rainbow Basin Emergency Physicians, a Medical Corporation

  • Emergency Medicine Physician
  • Barstow, CA
  • NPI 1811148729

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1780054858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10969 TOLLS LN",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546532",
            "telephone_number": "951-543-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ALABAMA ST STE D",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738097",
            "telephone_number": "855-901-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEZ",
        "first_name": "WILLIAM",
        "middle_name": "AUGUST",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Douglas Dick, PH.D., M.A., APCC
• Janece Jeanne Dickerson, LCSW
• Jennifer N Didonato, LMFT
• Sylviayunuen N Diego
• Byron Edward Diehl, DDS MS
• Matthew Lawrence Diggory, O.D.
• Digna Rivera Woolum Licensed Clinical Social Worker Inc a Prof
• Gabrielle Dillard
• Delisa Alma Dimpudus
• Devita Elsa Dimpudus, PMHNP

• Physician Assistant in Redlands, CA
• Providers in Redlands, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.