STACY XIOMARA DIAZ
NPI 1790028785
Licensed Vocational Nurse in Los Angeles, CA

Active since March 28, 2013
5425 POMONA BLVD, LOS ANGELES, CA 90022(323) 728-0411(323) 726-9377 Get Directions Write a Review

NPPES record last updated: March 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stacy Xiomara Diaz NPPES

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

STACY XIOMARA DIAZ (NPI 1790028785) is an individual licensed vocational nurse in Los Angeles, California, licensed in California (247657) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1790028785
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameSTACY XIOMARA DIAZ
Location Address5425 POMONA BLVDLos Angeles, CA 90022-1716
Mailing Address5425 Pomona BlvdLos Angeles, CA 90022-1716 · (323) 728-0411 · Fax (323) 726-9377
Fax(323) 726-9377
Sole ProprietorNo
Enumeration DateMarch 28, 2013
NPI 1790028785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in CA · 247657
Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

5425 POMONA BLVD, Los Angeles, CA 90022

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.

Internal Medicine
5425 POMONA BLVD
LOS ANGELES, CA 90022
Physician Assistant (Medical)
5425 POMONA BLVD
LOS ANGELES, CA 90022
General Practice
5425 POMONA BLVD
LOS ANGELES, CA 90022
Registered Nurse (Case Management)
5425 POMONA BLVD
LOS ANGELES, CA 90022
Specialist
5425 POMONA BLVD
LOS ANGELES, CA 90022
Clinic/Center
5425 POMONA BLVD
LOS ANGELES, CA 90022
Clinic/Center (Adult Day Care)
5425 POMONA BLVD
LOS ANGELES, CA 90022
Clinic/Center (Federally Qualified Health Center (FQHC))
5425 POMONA BLVD
LOS ANGELES, CA 90022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790028785, enumerated as an "individual" on March 28, 2013.

The provider is located at 5425 POMONA BLVD LOS ANGELES, CA 90022 and the phone number is (323) 728-0411.

Licensed Vocational Nurse with taxonomy code 164X00000X.