Active NPI
Yasellyn Diaz-Vega, D.C.
- Chiropractor
- Rochester, NY
National Provider Identifier
1871634139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010954-1
- Practice address
- 1732 Ridge Rd E
Rochester, NY 14622-2157 - Phone
- (585) 865-3991
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010954-1 | NY | Primary |
Addresses
Primary practice location
1732 Ridge Rd E
Rochester, NY 14622-2157
Mailing address
1732 Ridge Rd E
Rochester, NY 14622-2157
Phone (585) 865-3991
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152836AN | Other | NY | PREFERRED CARE |
| P010010954 | Other | NY | BLUE CROSSBLUE SHIELD |
| 7697600 | Other | NY | AETNA |
| C10954-8W | Other | NY | WORKMEN'S COMPENSATION |
Other names 1
- Dr. Yasellyn Diaz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X010954-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Rochester, NY
- NPI 1922372028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1871634139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1732 RIDGE RD E",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146222157",
"telephone_number": "585-865-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1732 RIDGE RD E",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146222157",
"telephone_number": "585-865-3991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-VEGA",
"first_name": "YASELLYN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010954-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "152836AN",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSSBLUE SHIELD",
"identifier": "P010010954",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7697600",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMEN'S COMPENSATION",
"identifier": "C10954-8W",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YASELLYN",
"last_name": "DIAZ",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.