Individual provider Active NPI

Jaime Alonso Diaz, M.D.

  • Emergency Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1790727949
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A88200 Issued in CA
Practice address
4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702
Phone
(818) 907-4570
Fax
(818) 907-2814
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A88200 CA Primary

Addresses

Primary practice location

4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702

Mailing address

PO Box 60041
Arcadia, CA 91066-6041
Phone (626) 447-0296

Other identifiers 1

IdentifierTypeStateIssuer
00A882000MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060114000075 CA Practitioner - Emergency Medicine 8527082759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Davis School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

15733 Whittier Blvd
Whittier, CA 90603-2312
Phone (562) 947-7754

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Pih Health Physicians Current Accepting new patients
Bright Health Physicians of Pih CurrentSince Jan 1, 2017 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Nov 1, 2009 Accepting new patients
Pih Health Physicians CurrentSince Jan 1, 2017 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Nov 1, 2009 Accepting new patients
Tarzana Emergency Medical Associates Emergency Medicine PastSince May 8, 2022 Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Rabin Nikjoo, M.D., Inc. PastSince Mar 1, 2022 Accepting new patients
Chino Emergency Medical Associates Emergency Medicine Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients

Locations

751 Medical Center Ct
#1182
Chula Vista, CA 91911

1400 S Harbor Blvd
La Habra, CA 90631
Phone (714) 879-3400

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2201 W Beverly Blvd
Montebello, CA 90640
Phone (323) 728-0321

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

12400 Bloomfield Ave
Santa Fe Springs, CA 90670
Phone (562) 789-5434

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1790727949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60041",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910666041",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031702",
            "telephone_number": "818-907-4570",
            "fax_number": "818-907-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JAIME",
        "middle_name": "ALONSO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A88200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A882000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.