MRS. LETICIA MARAVILLA DIAZ (NPI# 1346882800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346882800 |
| Entity Type | Individual |
| Full Name | MRS. LETICIA MARAVILLA DIAZ |
| Practice Address |
1429 W Fremont St Stockton CA 95203-2635 |
| Mailing Address |
4411 Parquet Way Turlock CA 95382-8630 |
| Practice Telephone | 2095467767 |
| Mailing Telephone | 2097206805 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2020-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4411 Parquet Way, Turlock, CA 953828630 | 2097206805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275013906 | Leticia Diaz | Specialist/Technologist | 512 S Westgate Dr Ste A, Weslaco, TX 78596-6296 | 2018-08-21 |
| 1073969739 | Leticia Diaz | Obstetrics & Gynecology | 11111 Research Blvd Ste 295, Austin, TX 78759-5281 | 2016-05-11 |
| 1326472309 | Leticia Diaz | Marriage & Family Therapist | 1202 W Civic Center Dr, Santa Ana, CA 92703-2252 | 2013-08-27 |
| Street Address |
1429 W FREMONT ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95203-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306990015 | Sierra Occupational Services | Family Medicine | 1429 W Fremont St, Stockton, CA 95203-2627 | 2007-01-22 |
| 1225683139 | Kevin Scott Dunn | Physical Therapist | 1429 W Fremont St, Stockton, CA 95203-2635 | 2019-08-07 |
| 1124595962 | Allen Strzelczyk | Physical Therapist | 1429 W Fremont St, Stockton, CA 95203-2635 | 2018-10-30 |
| 1669948055 | American Current Care of California, A Medical Corporation | Clinic/Center | 1429 W Fremont St, Stockton, CA 95203-2635 | 2018-10-23 |
| 1487120879 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 1429 W Fremont St, Stockton, CA 95203-2635 | 2018-10-23 |
| 1063933661 | Matthew Allen | Physical Therapist | 1429 W Fremont St, Stockton, CA 95203-2635 | 2017-07-05 |
| 1538616586 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 1429 W Fremont St, Stockton, CA 95203-2635 | 2016-09-07 |
| 1235428830 | Diane Sams Paul | Nurse Practitioner | 1429 W Fremont St, Stockton, CA 95203-2635 | 2011-04-04 |
| 1104129857 | Tyreina Benisha Amey | Physical Therapy Assistant | 1429 W Fremont St, Stockton, CA 95203-2635 | 2010-12-17 |
| 1811290638 | Sheila Anita Lederer | Physician Assistant | 1429 W Fremont St, Stockton, CA 95203-2635 | 2010-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899349 | Sagrario Alva Chavez | Technician | Sagrario Chavez, 1248 West Park St., Stockton, CA 95203 | 2019-12-26 |
| 1538682810 | Kumars Transport | Non-emergency Medical Transport (VAN) | 1112 W Fremont St, Stockton, CA 95203 | 2017-07-19 |
| 1194251595 | Jesmond Ridge Medical Services A Medical Corporation | Emergency Medicine | 525 W Acacla St, Stockton, CA 95203 | 2017-05-04 |
| 1285011064 | Brian Andrew Reuter | Emergency Medicine | Dameron Hospital, 525 Acacia St, Stockton, CA 95203 | 2015-04-30 |
| 1548209240 | Aaron James Simko | Pediatrics | 525 Acacia Street, Neonatal Department, Stockton, CA 95203 | 2006-06-06 |
| 1881057461 | El Concilio | Case Management | 445 N San Joaquin St, Stockton, CA 95203 | 2016-04-01 |
| 1619350634 | Sudha Vani Saduvala | Internal Medicine | 525 W Acacia St, Stockton, CA 95203 | 2015-07-08 |
| 1740621671 | Syed Salman Ali | Internal Medicine | 525 W Acacia St, Stockton, CA 95203 | 2013-07-08 |
| 1417021726 | Sahir Naseer | Emergency Medicine | 525 W Acacia St, Stockton, CA 95203 | 2006-11-20 |
| 1104312800 | Melissa Delossantos | Behavioral Analyst | 2180 Lucerne Ave, Stockton, CA 95203-1257 | 2018-07-05 |
| Find all providers in zip 95203 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649680364 | Marc K Massey | Physician Assistant | 1800 N California St, Stockton, Ca, Stockton, CA 95204 | 2014-05-02 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1407143274 | Marcia -galbraith | Physician Assistant | 3449 Schooner Dr, Stockton, CA 95219-4520 | 2011-06-30 |
| 1023340379 | Anjali Agrawal | Physician Assistant | 2531 N California St, Stockton, CA 95204-5501 | 2010-02-10 |
| 1083867683 | Sandra Robles-bonham | Physician Assistant | 77 W. March Lane, Suite A, Stockton, CA 95207-5723 | 2008-10-28 |
| 1982878096 | Steven Glenn Byrne | Physician Assistant | 11600 Stark Rd, Stockton, UT 84071-9712 | 2008-04-18 |
| 1366636847 | Rachel Abella Sumaquial | Physician Assistant | 3601 Brookside Road, Stockton, CA 95211-0001 | 2007-08-28 |
| 1679694608 | Michael V Dixon | Physician Assistant | 420 W Acacia St Ste 2, Stockton, CA 95203-2441 | 2007-04-03 |
| 1275654238 | Ana Ross | Physician Assistant | 420 W Acacia St Ste 19, Stockton, CA 95203-2441 | 2007-04-03 |
| 1023097284 | Rose L Santos | Physician Assistant | 415 W Benjamin Holt Dr, Stockton, CA 95207-3958 | 2006-01-15 |
| Find all providers in STOCKTON | ||||
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| 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.