MRS. SANDRA ILEANA DIAZ


Address: 401 S Fair Oaks Ave, Pasadena, CA 91105-2603
Phone: 6267952244

MRS. SANDRA ILEANA DIAZ (NPI# 1548223266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548223266
Entity Type Individual
Full Name MRS. SANDRA ILEANA DIAZ
Credential PA-C
Practice Address 401 S Fair Oaks Ave
Pasadena
CA 91105-2603
Practice Telephone 6267952244
Practice Fax Number 6267957441
Mailing Telephone 6267952244
Mailing Fax Number 6267957441
Enumeration Date 2006-04-11
Last Update Date 2012-12-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA13219 CA Physician Assistants & Advanced Practice Nursing Providers

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1437287166 Sandra Diaz Psychologist 90 New State Hwy, Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 2007-03-02
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1801977921 Sandra Hall Diaz Counselor 310 W. Porter Ave, Ocean Springs, MS 39564 2006-10-17
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Office Location

Street Address 401 S FAIR OAKS AVE
City PASADENA
State CA
Zip Code 91105-2603

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790250116 Precioustoni Jackson Social Worker 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 2018-10-11
1407114515 Nitin Ubhayakar Student in an Organized Health Care Education/Training Program 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 2012-04-26
1356589451 Alice Suh Pharmacist 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 2009-01-27
1710165592 Barbara Jean Voigt Registered Nurse 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 2008-02-04
1578628731 Phillip Howard Anderson Lee Dermatology 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 2006-12-27
1851484661 John Miguel Family Medicine 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 2006-10-02
1710090816 Timothy Cross Ballard Surgery 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 2006-08-16
1801802228 Warren Shu Internal Medicine 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 2006-07-31
1437172970 Victor Nhat-chieu Luu Family Medicine 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 2006-07-25
1841257342 Daniel Carl Moore Internal Medicine 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 2006-04-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619451697 Tonya Michlin Registered Nurse 800 Fairmount Ave Ste 110, Pasadena, CA 91105 2018-09-17
1639674161 David Marcus Md, Inc. Psychiatry & Neurology 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 2018-03-27
1548778541 Elias & Jun Dental Corp Dentist 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 2018-01-12
1013429745 Whitney Catalano Dietitian, Registered 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 2017-11-03
1518485630 Marlon O Miller Counselor 1020 South Arroyo Parkway, Pasadena, CA 91105 2017-09-08
1316469976 Alexandra Scott Speech-Language Pathologist 235 La Vereda Road, Pasadena, CA 91105 2017-07-14
1346770443 Amanda Grace Gentz Rehabilitation Practitioner 210 S De Lacey, Ste 110, Pasadena, CA 91105 2017-06-13
1427598390 Melina Gomez Loza Licensed Vocational Nurse 66 Hilburt St #2, Pasadena, CA 91105 2017-02-27
1588115281 Ramon Banuelos Rehabilitation Practitioner 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 2016-10-18
1922554245 Daniel Joseph Ybarra Student in an Organized Health Care Education/Training Program 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 2016-08-28
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710593397 Elyssa Summer Mccormack Physician Assistant 275 N Oakland Ave Apt 2, Pasadena, CA 91101-1647 2020-09-19
1356951941 Emily Lynn Yang Physician Assistant 3219 Fairpoint St, Pasadena, CA 91107-1202 2020-08-07
1326675414 Melissa Real Physician Assistant 845 Wright Ave, Pasadena, CA 91104-4466 2020-03-26
1164064762 Nikita Phiroz Engineer Physician Assistant 4102 Woodlawn Ave Ste 210, Pasadena, TX 77504-1949 2019-10-15
1275189979 Robert Hennington Physician Assistant 111 Red Bluff Rd, Pasadena, TX 77506-1530 2019-08-18
1306329586 Sofia Fiona Knoppel-calas Physician Assistant 215 N Allen Ave, Pasadena, CA 91106-1601 2018-09-13
1598136517 Cara Kylie Jugant Physician Assistant 3450 Fairpoint St, Pasadena, CA 91107-1207 2015-10-16
1962870451 Christopher Fong Physician Assistant 455 W Montana St, Pasadena, CA 91103-1327 2015-09-14
1629451380 Mary Evelyn Smith Physician Assistant 2080 San Pasqual St, Pasadena, CA 91107-5157 2015-06-30
1861899445 Ryan Whitworth Physician Assistant 140 N Lake Ave, Pasadena, CA 91101-1836 2014-11-26
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Competitor

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City PASADENA
Zip Code 91105

Improve Information

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Dataset Information

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.

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