Gustavo A Diaz, MD | |
1513 Fremont Blvd, E1, Seaside, CA 93955-4319 | |
(831) 899-1910 | |
(831) 393-9483 |
Full Name | Gustavo A Diaz |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1513 Fremont Blvd, Seaside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538122635 | NPI | - | NPPES |
000000006706 | Other | MA | BMC |
04-3329195 | Other | MA | NORTH AMERICAN PREFERRED |
04-3329195 | Other | MA | GREAT-WEST |
102531 | Other | MA | CIGNA |
2359897 | Other | MA | AETNA |
04-3329195 | Other | MA | PHCS |
04-3329195 | Other | MA | UNICARE/GIC |
04-3329195 | Other | MA | NORTHEAST HEALTHCARE ALLI |
04-3329195 | Other | MA | NORTHEAST HEALTH DIRECT |
04-3329195 | Other | MA | PLAN VISTA |
053006 | Other | MA | TUFTS |
24922 | Other | MA | HEALTH NEW ENGLAND |
3000915 | Medicaid | MA | |
438822 | Other | MA | HARVARD PILGRIM |
632919 | Other | MA | CONNECTICARE |
J08576 | Other | MA | BCBS MA |
04-3329195 | Other | MA | CONSOLIDATED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 53006 (Massachusetts) | Secondary |
207P00000X | Emergency Medicine | C54872 (California) | Primary |
Entity Name | Pinnacle Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669557930 PECOS PAC ID: 8921081076 Enrollment ID: O20040609001432 |
Entity Name | American Current Care Of California A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420 |
Mailing Address | Practice Location Address |
---|---|
Gustavo A Diaz, MD Po Box 2300, Salinas, CA 93902-2300 Ph: (831) 649-1000 | Gustavo A Diaz, MD 1513 Fremont Blvd, E1, Seaside, CA 93955-4319 Ph: (831) 899-1910 |