MS. CARMEN G DIAZ PA-C
NPI 1588939466
Physician Assistant - Medical in Los Angeles, CA

Active since March 12, 2012PECOS EnrolledAccepts Medicare Assignment
4920 AVALON BLVD, LOS ANGELES, CA 90011(323) 235-5035 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Carmen G Diaz Pa-c NPPES

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

MS. CARMEN G DIAZ PA-C (NPI 1588939466) is an individual medical provider in Los Angeles, California, licensed in California (22144) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1588939466
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. CARMEN G DIAZCredential: PA-C
Location Address4920 AVALON BLVDLos Angeles, CA 90011-4004
Mailing AddressPo Box 1088Paramount, CA 90723-1088 · (310) 919-8209
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 12, 2012
Last NPPES UpdateMarch 22, 2012
NPI 1588939466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 22144
4920 AVALON BLVD, Los Angeles, CA 90011

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

Ms. Carmen G Diaz Pa-c 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 ID3072776491
PECOS Enrollment IDI20120523000241
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.

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.

Marriage & Family Therapist
4920 AVALON BLVD
LOS ANGELES, CA 90011
Student in an Organized Health Care Education/Training Program
4920 AVALON BLVD
LOS ANGELES, CA 90011
Peer Specialist
4920 AVALON BLVD
LOS ANGELES, CA 90011
Marriage & Family Therapist
4920 AVALON BLVD, BAART
LOS ANGELES, CA 90011
Marriage & Family Therapist
4920 AVALON BLVD
LOS ANGELES, CA 90011
Counselor (Addiction (Substance Use Disorder))
4920 AVALON BLVD
LOS ANGELES, CA 90011
Counselor (Addiction (Substance Use Disorder))
4920 AVALON BLVD, BAART CLINIC
LOS ANGELES, CA 90011
Case Management
4920 AVALON BLVD
LOS ANGELES, CA 90011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Diaz's NPI number?

The NPI number for Carmen Diaz is 1588939466. It was assigned to this individual provider in the NPPES registry on March 12, 2012.

Where is Carmen Diaz located?

Carmen Diaz practices at 4920 Avalon Blvd, Los Angeles, CA 90011. The listed phone number is (323) 235-5035.

What is Carmen Diaz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carmen Diaz enrolled in Medicare?

Yes. Carmen Diaz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carmen Diaz was last updated on March 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.