Active NPI
Elias Diaz
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1871845370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202899
- Practice address
- 1200 Wilshire Blvd
Suite 210
Los Angeles, CA 90017-1908 - Phone
- (213) 481-1347
- NPI assigned
- Oct 8, 2012
- Last updated
- Jan 18, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 202899 | NU | Primary |
Addresses
Primary practice location
1200 Wilshire Blvd
Suite 210
Los Angeles, CA 90017-1908
Mailing address
2033 Fox Borough
Eagle Pass, TX 78852
Phone (310) 414-7799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3406 Bob Rogers Dr
Suite 120
Eagle Pass, TX 78852-5942
Phone (830) 757-4900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maverick County Hospital District | Current | Accepting new patients | |
| Maverick County Hospital District | Current | Accepting new patients | |
| Amanecer Community Counseling Service, a Non-Profit Corporation | Past | Accepting new patients |
Locations
3406 Bob Rogers Dr
Ste 120
Eagle Pass, TX 78852
Phone (830) 757-4570
Interoperability endpoints
- elias.diaz@mchd.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba La Frontera Nursing & Rehabilitation
- Skilled Nursing Facility
- Laredo, TX
- NPI 1881425122
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1053449900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1871845370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 FOX BOROUGH",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "78852",
"telephone_number": "310-414-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WILSHIRE BLVD",
"address_2": "SUITE 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171908",
"telephone_number": "213-481-1347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ELIAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-08",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": "202899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.