GONZALO A DIAZ (NPI# 1366089237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366089237 |
Entity Type | Organization |
Organization Name | GONZALO A DIAZ |
Other Organization Name | LOS ALAMOS |
Practice Address |
3917 West Rd Los Alamos NM 87544-2275 |
Mailing Address |
4305 N Mesa St Ste B El Paso TX 79902-1124 |
Practice Telephone | 9157797378 |
Practice Fax Number | 9157792822 |
Mailing Telephone | 9157787378 |
Mailing Fax Number | 9157792822 |
Enumeration Date | 2019-12-10 |
Last Update Date | 2019-12-20 |
Authorized Official Name | GONZALO A DIAZ (OWNER) |
Authorized Official Telephone | 9157797378 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | GONZALO A DIAZ |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 79570054 | 05 |
Other Name | Type Code |
---|---|
Los Alamos | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871130732 | Gonzalo A Diaz | Internal Medicine | 1204 Main St Ne Ste A, Los Lunas, NM 87031-7423 | 2019-12-10 |
1679110530 | Gonzalo A Diaz | Internal Medicine | 1651 Galisteo St Ste 11, Santa Fe, NM 87505-2113 | 2019-12-10 |
1124684162 | Gonzalo A Diaz | Internal Medicine | 1155 Commerce Dr Ste G, Las Cruces, NM 88011-8257 | 2019-05-15 |
1659901759 | Gonzalo A Diaz | Durable Medical Equipment & Medical Supplies | 4305 N Mesa St Ste B, El Paso, TX 79902-1124 | 2020-01-17 |
1619507720 | Gonzalo A Diaz | Durable Medical Equipment & Medical Supplies | 3030 Joe Battle Blvd, El Paso, TX 79938-2667 | 2020-01-17 |
1487291357 | Gonzalo A Diaz | Internal Medicine | 1009 Golf Course Rd Se, Rio Rancho, NM 87124-4704 | 2019-12-10 |
1326261249 | Gonzalo A Diaz | Internal Medicine | 4305 N Mesa St Ste B, El Paso, TX 79902-1124 | 2007-04-10 |
Street Address |
3917 WEST RD |
City | LOS ALAMOS |
State | NM |
Zip Code | 87544-2275 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225031321 | Jan M Merin | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2005-05-23 |
1124576327 | Clay Schneider | Nurse Practitioner | 3917 West Rd, Los Alamos, NM 87544-2275 | 2016-09-15 |
1093167330 | Laura K Merrigan | Nurse Practitioner | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2016-07-11 |
1043675473 | Total Renal Care Inc | Clinic/Center | 3917 West Rd, Ste G-02, Los Alamos, NM 87544-2275 | 2015-12-30 |
1225414253 | Sarah Versackas | Registered Nurse | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2015-07-31 |
1700273745 | Apogee Medical Group | General Acute Care Hospital | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-04-16 |
1679965883 | Los Alamos Emergency Medical Associates Inc | Emergency Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-02-25 |
1659773612 | Eric Jonathan Krinsky | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-22 |
1740681311 | Robin Jean Norman | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-14 |
1245679000 | Kelly M Young | Registered Nurse | 3917 West Rd, Ste. A, Los Alamos, NM 87544-2275 | 2013-06-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
Find all providers in zip 87544 |
Taxonomy Code | 207RS0012X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Sleep Medicine |
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871130732 | Gonzalo A Diaz | Internal Medicine | 1204 Main St Ne Ste A, Los Lunas, NM 87031-7423 | 2019-12-10 |
1679110530 | Gonzalo A Diaz | Internal Medicine | 1651 Galisteo St Ste 11, Santa Fe, NM 87505-2113 | 2019-12-10 |
1124684162 | Gonzalo A Diaz | Internal Medicine | 1155 Commerce Dr Ste G, Las Cruces, NM 88011-8257 | 2019-05-15 |
1619532652 | Sleep Eze, LLC | Internal Medicine | 4801 N Butler Ave Ste 6102, Farmington, NM 87401-2624 | 2019-05-06 |
1487291357 | Gonzalo A Diaz | Internal Medicine | 1009 Golf Course Rd Se, Rio Rancho, NM 87124-4704 | 2019-12-10 |
1528460029 | Sleep Lab of Las Cruces LLC | Internal Medicine | 2437 S Telshor Blvd, Las Cruces, NM 88011-5049 | 2014-09-16 |
1003182809 | Nicholas James Cutrufello | Internal Medicine | 1009 Golf Course Rd Se Ste 109, Rio Rancho, NM 87124-4705 | 2012-03-26 |
1336162437 | John W Doggett | Internal Medicine | 4700 Jefferson St Ne, Ste 800, Albuquerque, NM 87109 | 2006-07-26 |
1285657304 | Robert C Albers | Internal Medicine | 4700 Jefferson St Ne, Ste 800, Albuquerque, NM 87109 | 2006-07-26 |
1710989512 | Joseph D Kern | Internal Medicine | 4700 Jefferson St Ne, Suite 800, Albuquerque, NM 87109-2136 | 2005-08-11 |
Find all providers with the same taxonomy |
City | LOS ALAMOS |
Zip Code | 87544 |
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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.