Individual provider Active NPI

Maruja Del Valle Diaz Arjonilla, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Santa Ana, CA
National Provider Identifier
1841481074
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A97144 Issued in CA
Practice address
2212 E 4TH St Ste 304
Santa Ana, CA 92705
Phone
(714) 288-3230
Fax
(714) 571-7719
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A97144 CA Primary

Addresses

Primary practice location

2212 E 4TH St Ste 304
Santa Ana, CA 92705

Mailing address

2212 E 4TH St Ste 304
Santa Ana, CA 92705-3873
Phone (714) 288-3230

Other practice location 1

1160 Sunset Blvd
Rocklin, CA 85765-3772
Phone (916) 865-1000

Other practice location 2

1160 Sunset Blvd
Rocklin, CA 85765-3772
Phone (916) 865-1000

Other names 1

  • Maruja Del Valle Diaz Romero Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marujadiazarjonilla@sjhhandhmg.allscriptsdirect.net

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
I20090325000198 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 4082771787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 633-9111

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

2212 E 4TH St
Santa Ana, CA 92705-3870
Phone (714) 633-1011

2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 633-7175

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97144CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Mar 9, 2015 Accepting new patients
Queen of the Valley Medical Association Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

2501 E Chapman Ave
Ste 203
Orange, CA 92869
Phone (714) 628-3230

2212 E 4th St
Santa Ana, CA 92705
Phone (714) 288-3230

2212 E 4th St
Ste 202
Santa Ana, CA 92705
Phone (714) 228-3230

2212 E 4th St
Ste 304
Santa Ana, CA 92705
Phone (714) 288-3230

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1841481074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 E 4TH ST STE 304",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053873",
            "telephone_number": "714-288-3230",
            "fax_number": "714-571-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 E 4TH ST STE 304",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-288-3230",
            "fax_number": "714-571-7719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "857653772",
            "country_code": "US",
            "telephone_number": "916-865-1000",
            "fax_number": "816-865-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1160 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "857653772",
            "country_code": "US",
            "telephone_number": "916-865-1000",
            "fax_number": "816-865-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ ARJONILLA",
        "first_name": "MARUJA",
        "middle_name": "DEL VALLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A97144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marujadiazarjonilla@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2212 E 4th St Ste 304",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARUJA",
            "last_name": "DIAZ ROMERO",
            "middle_name": "DEL VALLE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.