Diana Agraz, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

52086 Issued in CA

Practice address

116 S Palisade Dr
Suite 110
Santa Maria, CA 93454-8904

Phone

(805) 349-7133

Fax

(805) 349-7137

NPI assigned

Nov 25, 2014

Last updated

Nov 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9c3d5f6c-4d59-4a7f-9170-c96c3d9e561c/

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.

• Med-Stops Medical Clinic, Inc.

  • Emergency Care Clinic/Center
  • San Luis Obispo, CA
  • NPI 1295718849
  Medicare reassignment
• Urology Associates of the Central Coast

  • Urology Physician
  • San Luis Obispo, CA
  • NPI 1881785764
  Medicare reassignment
• Urology Associates of the Central Coast

  dba Urology Associates of San Luis Obispo

  • Non-Pharmacy Dispensing Site
  • San Luis Obispo, CA
  • NPI 1194101899
  NPD

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1972900561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 SUELDO ST",
            "address_2": "SUITE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017386",
            "telephone_number": "805-786-2500",
            "fax_number": "805-781-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S PALISADE DR",
            "address_2": "SUITE 110",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548904",
            "telephone_number": "805-349-7133",
            "fax_number": "805-349-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAZ",
        "first_name": "DIANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "52086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aegis Treatment Centers
• Aegis Treatment Centers, LLC
• Aegis Treatment Centers, LLC
• Elena Yurevna Agafonova, M.D.
• Agile Occupational Medicine, PC
• Benjamin Aguayo
• Ethan Adam Aguilar Bravo
• Lizeth Aguilar Navarro
• Feliciano Aguilar
• Isabella Violet Aguilar

• Medical Physician Assistant in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.