Manuel Gomez Diago, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50456 Issued in CA

Practice address

2310 W Whitendale Ave Ste B
Visalia, CA 93277-6131

Phone

(559) 622-9622

Fax

(559) 732-2039

NPI assigned

Nov 20, 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

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1831263888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 W WHITENDALE AVE STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776131",
            "telephone_number": "559-622-9622",
            "fax_number": "559-732-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 W WHITENDALE AVE STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776131",
            "telephone_number": "559-622-9622",
            "fax_number": "559-732-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAGO",
        "first_name": "MANUEL",
        "middle_name": "GOMEZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saujan Devkota, MD
• Jeanene Devries, RN
• Gurtej S Dhillon, MD
• Harpreet Singh Dhillon, FNP-C
• Sandhya V Dhingra, MD
• John Dias, MS COUNSELING/LMFT
• Alec Diaz Becerra
• Fredy Diaz Garcia
• Melissa Diaz-Cabrera
• Arcelia Esperanza Diaz, RN

• General Practice Dentistry in Visalia, CA
• Providers in Visalia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.