Active NPI
Nikki Kaje Diaz
- Student in an Organized Health Care Education/Training Program
- Fresno, CA
National Provider Identifier
1912838780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2560 W Shaw LN Ste 104
Fresno, CA 93711-2777 - Phone
- (559) 443-4800
- NPI assigned
- May 28, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary | |
| Rehabilitation Practitioner | 225400000X | CA |
Addresses
Primary practice location
2560 W Shaw LN Ste 104
Fresno, CA 93711-2777
Mailing address
301 E 13TH St
Merced, CA 95341-6211
Phone (209) 233-7544
Other practice location 1
300 E 15th St
Merced, CA 95341-6217
Phone (209) 381-6800 ext. 6952
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno County Superintendent of Schools | Past | Accepting new patients | |
| Fresno County Superintendent of Schools | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1235624768
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1467042408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1912838780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416211",
"telephone_number": "209-233-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 W SHAW LN STE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937112777",
"telephone_number": "559-443-4800"
}
],
"practiceLocations": [
{
"address_1": "300 E 15th St",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953416217",
"country_code": "US",
"telephone_number": "209-381-6800 x6952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "NIKKI",
"middle_name": "KAJE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-28",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.