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DIAZ MEDICAL GROUP INC
NPI 1669139945
Clinic/Center in Van Nuys, CA

Active since November 22, 2021CLIA 05D2273895 · Waiver
14550 ARCHWOOD ST STE B, VAN NUYS, CA 91405(909) 217-8633 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diaz Medical Group Inc NPPES

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

DIAZ MEDICAL GROUP INC (NPI 1669139945) is a healthcare organization registered as a clinic/center in Van Nuys, California and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists King Nino Diaz, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1669139945
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDIAZ MEDICAL GROUP INC
Location Address14550 ARCHWOOD ST STE BVan Nuys, CA 91405-4628
Mailing Address14550 Archwood St Ste BVan Nuys, CA 91405-4628 · (909) 217-8633
Phone(909) 217-8633
Organization SubpartNo
Authorized OfficialKing Nino DiazNurse Practitioner · (909) 217-8633
Enumeration DateNovember 22, 2021
NPPES CertifiedNovember 14, 2021
✔ NPI 1669139945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
14550 ARCHWOOD ST STE B, Van Nuys, CA 91405
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2273895

Diaz Medical Group, Inc · Van Nuys, CA
Active · expires Dec 19, 2026
CLIA Number05D2273895
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorSteven Rosenblatt
Laboratory Phone(818) 851-5540
Laboratory LocationDiaz Medical Group, Inc14550 Archwood St Ste B, Van Nuys, CA 91405
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SUNTRUST HOSPICE, INC.
Hospice Care, Community Based
14550 ARCHWOOD ST STE B
VAN NUYS, CA 91405
Los Angeles County (818) 299-7161

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 Diaz Medical Group Inc's NPI number?

The NPI number for Diaz Medical Group Inc is 1669139945. It was assigned to this organization in the NPPES registry on November 22, 2021.

Where is Diaz Medical Group Inc located?

Diaz Medical Group Inc is located at 14550 Archwood St Ste B, Van Nuys, CA 91405. The listed phone number is (909) 217-8633.

What is Diaz Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Diaz Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2273895) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Diaz Medical Group Inc was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.