Active NPI
C. Leticia Diaz-Zimmerman, M.D.
- Ophthalmology Physician
- Washington, DC
National Provider Identifier
1962661454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD13005
- Practice address
- 2150 Pennsylvania Ave NW
Floor 2a
Washington, DC 20037-3201 - Phone
- (301) 466-4952
- Fax
- (202) 741-2830
- NPI assigned
- Jun 9, 2008
- Last updated
- Jun 9, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD13005 | DC | Primary |
Addresses
Primary practice location
2150 Pennsylvania Ave NW
Floor 2a
Washington, DC 20037-3201
Mailing address
6001 Neilwood Dr
Rockville, MD 20852-3703
Phone (301) 881-3710
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13005 | DC | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1962661454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 NEILWOOD DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523703",
"telephone_number": "301-881-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW",
"address_2": "FLOOR 2A",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201",
"telephone_number": "301-466-4952",
"fax_number": "202-741-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-ZIMMERMAN",
"first_name": "C. LETICIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "DC",
"license": "MD13005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.