Individual provider Active NPI

Claude Diles III, CMPSS

  • Case Manager/Care Coordinator
  • Lakewood, CA
National Provider Identifier
1952088064
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
5150 Candlewood St Ste 22C
Lakewood, CA 90712-1929
Phone
(424) 242-3087
NPI assigned
Jun 29, 2023
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU
Case Manager/Care Coordinator 171M00000X NU Primary
Peer Specialist 175T00000X MPSS-LKXQFH CA

Addresses

Primary practice location

5150 Candlewood St Ste 22C
Lakewood, CA 90712-1929

Mailing address

2005 Palo Verde Ave Ste 251
Long Beach, CA 90815-3322
Phone (424) 242-3087

Other practice location 1

1401 E 4th St
Long Beach, CA 90802-1800
Phone (562) 912-4005

Other practice location 2

1144 Olive Ave
Long Beach, CA 90813-3598
Phone (562) 270-4833

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

LicenseStateTypeSpecialty
MPSS-LKXQFHCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Prep Ed Programs Inc. Case Manager/Care Coordinator CurrentSince Jul 8, 2023 Accepting new patients

Locations

5150 Candlewood St
Ste 22C
Lakewood, CA 90712
Phone (424) 242-3087

2005 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 728-3431

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1952088064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PALO VERDE AVE STE 251",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153322",
            "telephone_number": "424-242-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD ST STE 22C",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121929",
            "telephone_number": "424-242-3087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908021800",
            "country_code": "US",
            "telephone_number": "562-912-4005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1144 Olive Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133598",
            "country_code": "US",
            "telephone_number": "562-270-4833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILES",
        "first_name": "CLAUDE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CMPSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-LKXQFH",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.