Waddy Osvaldo Gonzalez Diaz, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

19199 Issued in NV

Practice address

2385 E Prater Way Ste 302
Sparks, NV 89434-9638

Phone

(775) 356-4514

Fax

(775) 356-4991

NPI assigned

Dec 11, 2012

Sex

Male

Sole proprietor

No

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 NV

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northern Nevada Medical Group LLCGroup PAC ID 7214093020, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
• Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
• Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313
• Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Northern Nevada Medical Group, LLC

  • Family Medicine Physician
  • Sparks, NV
  • NPI 1972751618
  Medicare reassignment Care Compare group
• Sparks Family Hospital Inc

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582
  NPD (past)

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

• Banner Churchill Community Hospital

  • Critical Access Hospital
  • Fallon, NV
  • NPI 1265811251
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1932517299
  Care Compare affiliation
• Renown South Meadows Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1720058027
  Care Compare affiliation
• Sparks Family Hospital Inc

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1346934569

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1366232993

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582
  Care Compare affiliation
• Sparks Family Hospital Inc

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1609451327
  Care Compare affiliation
• Sparks Family Hospital Inc

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1689229353

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  • Emergency Care Clinic/Center
  • Sparks, NV
  • NPI 1952049132

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1851636294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 207",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349634",
            "telephone_number": "775-356-4514",
            "fax_number": "775-356-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 E PRATER WAY STE 302",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349638",
            "telephone_number": "775-356-4514",
            "fax_number": "775-356-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ DIAZ",
        "first_name": "WADDY",
        "middle_name": "OSVALDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-11",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "19199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Memories
• Jose Antonio Gomez-Ramos, MA, MFT, LADC, NCAC
• Andrea Delfina Gonzales
• Heather Gonzales, CADCI
• Hilary Lorainne Gonzales
• Israel Gonzalez
• Jacqueline Gonzalez, APN
• Jennifer Gonzalez
• Juan Carlos Gonzalez
• Vanessa Gonzalez

• Cardiovascular Disease Physician in Sparks, NV
• Providers in Sparks, NV by specialty
• Cardiovascular Disease Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.