JOHN JOSEPH CORRALES-DIAZ MD
NPI 1013967512
Pediatrics in Poulsbo, WA

Q: What is John Corrales-diaz's NPI number?

The NPI number for John Corrales-diaz is 1013967512. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is John Corrales-diaz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 12, 2006

19245 7TH AVE NE, POULSBO, WA 98370(360) 782-3500(360) 782-3540 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2023, Jan 10, 2023, Mar 16, 2021 and 1 more (4 updates tracked since 2018).

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About John Joseph Corrales-diaz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN JOSEPH CORRALES-DIAZ MD (NPI 1013967512) is an individual pediatrics provider in Poulsbo, Washington, licensed in Washington (MD00021573) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1013967512

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJOHN JOSEPH CORRALES-DIAZCredential: MD

Location Address19245 7TH AVE NEPoulsbo, WA 98370-6551

Mailing Address19245 7th Ave NePoulsbo, WA 98370-6551 · (360) 782-3500 · Fax (360) 782-3540

Phone(360) 782-3500

Fax(360) 782-3540

Sole ProprietorNo

Enumeration DateMay 12, 2006

Last NPPES UpdateMarch 6, 20234 updates tracked since enumeration

NPPES CertifiedMarch 6, 2023

✔ NPI 1013967512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WA · MD00021573

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

19245 7TH AVE NE, Poulsbo, WA 98370

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Other Identifiers 3

OtherCO7915Regence Blue Shield

Other4586742Aetna

Medicaid1000428WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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