ANGELICA DIAZ CNP NPI 1679654248

NPI Information

NPI: 1679654248
Provider Name: ANGELICA DIAZ, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
947 S ANAHEIM BLVD
SUITE 270
ANAHEIM, CA
ZIP 92805
Phone: (714) 535-1415
Get Directions

Angelica Diaz, CNP is a family nurse practitioner in Anaheim, CA with 20 years of experience. Angelica Diaz, CNP NPI is 1679654248. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

947 S ANAHEIM BLVD
SUITE 270
ANAHEIM, CA
ZIP 92805-582
Phone: (714) 535-1415
Fax: (714) 635-6771

The NPI 1679654248 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	FP-C 15085	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GR0090750	MEDICAID	CALIFORNIA
2	NP 15085	OTHER	CALIFORNIA	CA NURSE PRACTITIONER #
3	F1104107	OTHER	CALIFORNIA	AAOFNP CERTIFICATE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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