Javier Diaz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

724 Issued in NV

Practice address

3101 S. Maryland Pkwy., Suite #211
Las Vegas, NV 89147

Phone

(702) 951-2243

NPI assigned

Oct 2, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Ansarinia Professional Corportation

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1780852723
  NPD (past)
• D & D Healthcare, Inc.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1245263854
  NPD (past)
• Headache Specialists

  • Specialist
  • Las Vegas, NV
  • NPI 1316121783
  NPD (past)
• Rapid Care Medical Clinic LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1922274836
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790878403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9670 MARINER VILLAGE COURT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89147",
            "telephone_number": "702-493-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S. MARYLAND PKWY., SUITE #211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89147",
            "telephone_number": "702-951-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JAVIER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert M. Diaz
• Idalmis Diaz
• Jan Michael Vincent Galang Diaz
• Jared Andrew Diaz
• Jasman Diaz
• Jenna Natalia Diaz, M.D.
• Jennifer Jane Verano Diaz, APRN-CNP
• Jessica G Diaz
• Jessie Xavier Diaz
• Jesus Ventura Diaz

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.