Santiago Diaz, is a
Student In An Organized Health Care Education/training Program based in San Francisco, California. Santiago Diaz is licensed to practice in California (license number 1679143630) and his current practice location is
3626 Balboa St, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at
(510) 613-0330.
NPI number for Santiago Diaz is 1679143630 and his current mailing address is 3626 Balboa St, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679143630.
Healthcare Provider's Profile
| Full Name | Santiago Diaz |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3626 Balboa St, San Francisco, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679143630
- Provider Enumeration Date: 06/30/2021
- Last Update Date: 07/06/2022
Medical Identifiers
Medical identifiers for Santiago Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679143630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 1679143630 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Santiago Diaz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Santiago Diaz,
3626 Balboa St,
San Francisco, CA 94121-2604
Ph: (415) 223-1627 | Santiago Diaz,
3626 Balboa St,
San Francisco, CA 94121-2604
Ph: (510) 613-0330 |
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