Active NPI
Javier A Diaz Jr.
- Counselor
- Barstow, CA
National Provider Identifier
1982161691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 222 E Main St Ste 117
Barstow, CA 92311-2365 - Phone
- (951) 463-3419
- NPI assigned
- Feb 28, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Behavior Technician | 106S00000X | CA |
Addresses
Primary practice location
222 E Main St Ste 117
Barstow, CA 92311-2365
Mailing address
13937 Cuyamaca Rd
Apple Valley, CA 92307-5904
Phone (951) 463-3419
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1982161691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13937 CUYAMACA RD",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923075904",
"telephone_number": "951-463-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 E MAIN ST STE 117",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923112365",
"telephone_number": "951-463-3419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "JAVIER",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-28",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.