ANGELA BERNADETTE COULTER DIAZ
NPI 1487940862
Social Worker - Clinical in Los Angeles, CA

Q: What is Angela Coulter Diaz's NPI number?

The NPI number for Angela Coulter Diaz is 1487940862. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Q: What is Angela Coulter Diaz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment

91.7/100

CMS Quality Rating

300 UCLA MEDICAL PLZ STE 2200, LOS ANGELES, CA 90095(310) 825-9989 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angela Bernadette Coulter Diaz NPPES

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

ANGELA BERNADETTE COULTER DIAZ (NPI 1487940862) is an individual clinical provider in Los Angeles, California, licensed in California (LCSW29650) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Culver City, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1487940862

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANGELA BERNADETTE COULTER DIAZ

Location Address300 UCLA MEDICAL PLZ STE 2200Los Angeles, CA 90095-4006

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 825-9989

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 23, 2011

Last NPPES UpdateJuly 22, 2024

NPPES CertifiedJuly 22, 2024

✔ NPI 1487940862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · LCSW29650✔ Licensed in CA · ASW 23571

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

300 UCLA MEDICAL PLZ STE 2200, Los Angeles, CA 90095

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Secondary Practice Location 1

Location 14073 Charles AveCulver City, CA 90232-4006 · Phone (310) 383-6046

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela Bernadette Coulter Diaz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608275011

PECOS Enrollment IDI20210603003329

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.77

Promoting Interoperability

100

Improvement Activities

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.

KAREN ANN MIOTTO

Psychiatry & Neurology (Psychiatry)