EDGAR JOSE DIAZ B.A.
NPI 1720855448
Rehabilitation Practitioner in San Jose, CA

Q: What is Edgar Diaz's NPI number?

The NPI number for Edgar Diaz is 1720855448. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Q: What is Edgar Diaz's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Diaz was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since December 04, 2023

1555 PARKMOOR AVE, SAN JOSE, CA 95128(408) 282-0402(408) 282-0400 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2025, Dec 4, 2023 (2 updates tracked since 2023).

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About Edgar Jose Diaz B.a. NPPES

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

EDGAR JOSE DIAZ B.A. (NPI 1720855448) is an individual rehabilitation practitioner in San Jose, California and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1720855448

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameEDGAR JOSE DIAZCredential: B.A.

Location Address1555 PARKMOOR AVESan Jose, CA 95128-2407

Mailing Address1555 Parkmoor AveSan Jose, CA 95128-2407 · (408) 282-0402 · Fax (408) 282-0400

Phone(408) 282-0402

Fax(408) 282-0400

Sole ProprietorNo

Enumeration DateDecember 4, 2023

Last NPPES UpdateMay 29, 20252 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1720855448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1555 PARKMOOR AVE, San Jose, CA 95128

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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.

MEAGHAN BARISONE

Counselor