NPIMap

Organization Active NPI

Tarcisio C. Diaz, M.D. a Medical Corporation

  • Endocrinology, Diabetes & Metabolism Physician
  • Corona, CA
National Provider Identifier
1891135752
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A46295 Issued in CA
Legal business name
TARCISIO C. DIAZ, M.D. A MEDICAL CORPORATION
Practice address
900 S Main St
Suite 100
Corona, CA 92882-3401
Phone
(951) 738-9081
Fax
(951) 738-9081
NPI assigned
Jun 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Dr. Tarcisio Calibo Diaz, M.D.NPI 1346379583
Title
President
Phone
(951) 738-9081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X A46295 CA Primary

Addresses

Primary practice location

900 S Main St
Suite 100
Corona, CA 92882-3401

Mailing address

900 S Main St
Suite 100
Corona, CA 92882-3401
Phone (951) 738-9081

Other identifiers 1

IdentifierTypeStateIssuer
00A462950OtherCAMEDICARE

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: tarcisiodiaz@diaz1.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1891135752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST",
            "address_2": "SUITE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823401",
            "telephone_number": "951-738-9081",
            "fax_number": "951-738-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST",
            "address_2": "SUITE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823401",
            "telephone_number": "951-738-9081",
            "fax_number": "951-738-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARCISIO C. DIAZ, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "TARCISIO",
        "authorized_official_middle_name": "CALIBO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-738-9081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A46295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00A462950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.