Active NPI
Carlo Diaz, MFT
- Marriage & Family Therapist
- South Pasadena, CA
National Provider Identifier
1922145374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 47772
- Practice address
- 1515 Hope St # 202
South Pasadena, CA 91030-2610 - Phone
- (626) 344-8212
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | MFC 47772 | CA | Primary |
Addresses
Primary practice location
1515 Hope St # 202
South Pasadena, CA 91030-2610
Mailing address
156 S Oak Knoll Ave Apt 206
Pasadena, CA 91101-2625
Phone (626) 818-6511
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 47772 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1922145374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 S OAK KNOLL AVE APT 206",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012625",
"telephone_number": "626-818-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HOPE ST # 202",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910302610",
"telephone_number": "626-344-8212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "CARLO",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 47772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.