Active NPI
Melissa Ann Diaz, OTR/L
- Occupational Therapist
- Riverside, CA
National Provider Identifier
1780968214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9574
- Practice address
- 5257 Magnolia Ave
Riverside, CA 92506-1249 - Phone
- (562) 756-4395
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9574 | CA | Primary |
Addresses
Primary practice location
5257 Magnolia Ave
Riverside, CA 92506-1249
Mailing address
5257 Magnolia Ave
Riverside, CA 92506-1249
Phone (562) 756-4395
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin O. Lawrence MD Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Rancho Cucamonga, CA
- NPI 1659545630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1780968214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5257 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061249",
"telephone_number": "562-756-4395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5257 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061249",
"telephone_number": "562-756-4395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "9574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.