KELSEY DIAZ (NPI# 1316494073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316494073 |
| Entity Type | Individual |
| Full Name | KELSEY DIAZ |
| Credential | DPT |
| Practice Address |
1020 Tierra Del Rey Chula Vista CA 91910-7886 |
| Mailing Address |
1016 Oliver Ave San Diego CA 92109-5025 |
| Practice Telephone | 6195857104 |
| Mailing Telephone | 3212432901 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT291968 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1020 TIERRA DEL REY |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-7886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518377308 | Christie Marie Cross | Occupational Therapist | 1020 Tierra Del Rey, Suite A-1, Chula Vista, CA 91910-7886 | 2014-05-01 |
| 1992224141 | Amanda Elizabeth Yap | Physical Therapist | 1020 Tierra Del Rey, Chula Vista, CA 91910-7886 | 2017-09-19 |
| 1700330453 | Rachel Burton | Physical Therapist | 1020 Tierra Del Rey, Chula Vista, CA 91910-7886 | 2016-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982651535 | Manual Orthopedic Physical Therapy, Inc. | Physical Therapist | 885 Canarios Ct, Ste 110, Chula Vista, CA 91910-7877 | 2006-05-28 |
| 1194235218 | Brianna Lynn Introcaso | Physical Therapist | 1020 Tierra Del Rey # 1, Chula Vista, CA 91910-7886 | 2017-10-03 |
| 1154861482 | Michael Eaton | Physical Therapist | 955 Lane Ave Ste 201, Chula Vista, CA 91914-4525 | 2017-03-06 |
| 1417403676 | Jana Tokunaga | Physical Therapist | 690 Otay Lakes Rd, #200, Chula Vista, CA 91910-8904 | 2016-08-28 |
| 1932577053 | Melanie Murnan | Physical Therapist | 3450 Bonita Rd Ste 105, Chula Vista, CA 91910-3249 | 2015-09-04 |
| 1275857815 | Talia M Wulkowicz | Physical Therapist | 344 F St, 300, Chula Vista, CA 91910-2645 | 2010-03-25 |
| 1568692184 | Anne Reybrock | Physical Therapist | 885 Canarios Ct Ste 110, Chula Vista, CA 91910-7877 | 2009-07-16 |
| 1063621704 | Afsoon Roshan Johnston | Physical Therapist | 251 Landis Ave, Chula Vista, CA 91910-2628 | 2007-05-21 |
| 1104920636 | Christine Yvonne Balderas | Physical Therapist | 1055 Tierra Del Rey, #c, Chula Vista, CA 91910-7875 | 2006-09-13 |
| 1558466086 | Michael Kevin Stein | Physical Therapist | 955 Lane Ave, Ste 201, Chula Vista, CA 91914-3501 | 2006-09-13 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
Please comment or provide details below to improve the information on KELSEY DIAZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.