Individual provider Active NPI

Cameron Laseter Diaz, M.D.

  • Pediatrics Physician
  • Jasper, AL
National Provider Identifier
1780071597
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.37094 Issued in AL
Practice address
1513 Pediatric Dr
Jasper, AL 35501-4059
Phone
(205) 221-4780
Fax
(205) 221-5660
NPI assigned
Apr 20, 2015
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.37094 AL Primary

Addresses

Primary practice location

1513 Pediatric Dr
Jasper, AL 35501-4059

Mailing address

236 S Wood Rd
Homewood, AL 35209-6533
Phone (205) 222-1214

Other practice location 1

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 894-6783

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.37094ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Dabbs & Hyland PC Pediatrics CurrentSince Sep 21, 2025 Accepting new patients
BBH WBMC, LLC Past Accepting new patients

Locations

1513 Pediatric Dr
Jasper, AL 35501
Phone (205) 221-4780

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1780071597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S WOOD RD",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096533",
            "telephone_number": "205-222-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 PEDIATRIC DR",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014059",
            "telephone_number": "205-221-4780",
            "fax_number": "205-221-5660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Henry Clay Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701185720",
            "country_code": "US",
            "telephone_number": "504-894-6783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CAMERON",
        "middle_name": "LASETER",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.37094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.