Active NPI
Debbie Elizabeth Diaz, FAMILY NURSE PRACTIT
- Nurse Practitioner
- Vallejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 333109
- Practice address
- Kaiser Permanente 975 Sereno Dr
Vallejo, CA 94589 - Phone
- (707) 651-2738
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 333109 | CA | Primary |
Addresses
Primary practice location
Kaiser Permanente 975 Sereno Dr
Vallejo, CA 94589
Mailing address
975 Sereno Dr
Vallejo, CA 94589-2441
Phone (707) 651-2738
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Community Medical Centers Inc | Current | Accepting new patients | |
| Community Medical Centers, Inc. | Current | Accepting new patients | |
| Community Medical Centers, Inc. | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients |
Locations
131 W A St
Ste 3
Dixon, CA 95620
Phone (707) 635-1600
7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816
600 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 359-1800
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Interoperability endpoints
- debbie.diaz.p1@direct.cmcentersinc.nextgenshare.com
Organizations & group practices 6
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.
-
dba Esparto Family Practice
- Federally Qualified Health Center (FQHC)
- Esparto, CA
- NPI 1588729180
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
dba Community Medical Centers, Lodi East
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1891529061
-
- Federally Qualified Health Center (FQHC)
- Vacaville, CA
- NPI 1417012329
-
- Internal Medicine Physician
- Vallejo, CA
- NPI 1336222397
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982774774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 SERENO DR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892441",
"telephone_number": "707-651-2738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KAISER PERMANENTE 975 SERENO DR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "94589",
"telephone_number": "707-651-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "DEBBIE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "FAMILY NURSE PRACTIT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "333109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.