Ms Mariah Amanda Diaz, is a
Community Health Worker based in Santa Ana, California. Ms Mariah Amanda Diaz is licensed to practice in * (Not Available) (license number ) and her current practice location is
600 W Santa Ana Blvd, Santa Ana, California. She can be reached at her office (for appointments etc.) via phone at
(714) 953-4455.
NPI number for Ms Mariah Amanda Diaz is 1376285221 and her current mailing address is 525 Cabrillo Park Dr Ste 300, Santa Ana, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376285221.
Healthcare Provider's Profile
| Full Name | Ms Mariah Amanda Diaz |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 600 W Santa Ana Blvd, Santa Ana, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376285221
- Provider Enumeration Date: 04/11/2022
- Last Update Date: 11/15/2023
Medical Identifiers
Medical identifiers for Ms Mariah Amanda Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376285221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | AMFT139292 (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | 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. Ms Mariah Amanda 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 |
|---|
Ms Mariah Amanda Diaz,
525 Cabrillo Park Dr Ste 300,
Santa Ana, CA 92701-5017
Ph: (714) 953-4455 | Ms Mariah Amanda Diaz,
600 W Santa Ana Blvd,
Santa Ana, CA 92701-4558
Ph: (714) 953-4455 |
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