KELLY ETHEL DIAZ
NPI 1104641059
Specialist/Technologist - Athletic Trainer in La Canada, CA
NPI Status: Active since November 16, 2024
Contact Information
200 FOOTHILL BLVD
LA CANADA, CA
ZIP 91011
Phone: (818) 826-1637
- Individual
- Female
- Specialist/Technologist
- Athletic Trainer
About KELLY DIAZ
This page provides the complete NPI Profile along with additional information for Kelly Diaz, a provider established in La Canada, California with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1104641059 assigned on November 2024. The practitioner's primary taxonomy code is 2255A2300X with license number 2000058035 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1104641059
- Provider Name
- KELLY ETHEL DIAZ
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 200 FOOTHILL BLVD LA CANADA, CA 91011
- Location Phone
- (818) 826-1637
- Mailing Address
- 200 FOOTHILL BLVD LA CANADA, CA 91011
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-16-2024
- Last Update Date
- 09-14-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist Athletic Trainer
- Taxonomy Code
- 2255A2300X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 2000058035
- License State
- CA
- Taxonomy Description
- Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | 004992 (NY) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104641059, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 41 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
LA CANADA, CA 91011
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104641059, enumerated as an "individual" on November 16, 2024.
The provider is located at 200 FOOTHILL BLVD LA CANADA, CA 91011 and the phone number is (818) 826-1637.
Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.
