King Nino Diaz, - Medicare Nurse Practitioner in Panorama City, CA

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King Nino Diaz, is a medicare enrolled "Nurse Practitioner - Family" in Panorama City, California. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Diaz Medical Group Inc, Exer Medical Corporation and his current practice location is 9064 Van Nuys Blvd, Panorama City, California. You can reach out to his office (for appointments etc.) via phone at (909) 217-8633.

King Nino Diaz is licensed to practice in California (license number 95016752) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144841172.

Contact Information

King Nino Diaz,
9064 Van Nuys Blvd,
Panorama City, CA 91402-1813
(909) 217-8633
Not Available

Map and Direction




Provider's Profile

Full NameKing Nino Diaz
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location9064 Van Nuys Blvd, Panorama City, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • King Nino Diaz graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1144841172
  • Provider Enumeration Date: 04/30/2020
  • Last Update Date: 04/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961810957
  • Enrollment ID: I20210412001184

Medical Identifiers

Medical identifiers for King Nino Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144841172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 95034277 (California)Secondary
363LF0000XNurse Practitioner - Family 95016752 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Diaz Medical Group Inc10527074033
Exer Medical Corporation9032359534248

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. King Nino Diaz allows following entities to bill medicare on his behalf.
Entity NameAnaheim Urgent Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962680033
PECOS PAC ID: 8325118029
Enrollment ID: O20080606000728
Entity NameExer Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588901532
PECOS PAC ID: 9032359534
Enrollment ID: O20130705000153
Entity NameDiaz Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669139945
PECOS PAC ID: 1052707403
Enrollment ID: O20220412000303

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. King Nino Diaz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
King Nino Diaz,
233 S La Fayette Park Pl,
Los Angeles, CA 90057-1353

Ph: (909) 217-8633		King Nino Diaz,
9064 Van Nuys Blvd,
Panorama City, CA 91402-1813

Ph: (909) 217-8633

Reviews and Comments


Nurse Practitioner Nurses in Panorama City, CA

Gloria S Tongson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    
Tina J Woolfork, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    
Ms. Tenika Nettles, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 9618 Van Nuys Blvd Apt 106, Panorama City, CA 91402
Phone: 323-684-4577    
Mary Bernadette Acuna Coburn, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    
Hilda Berenice Jacobo, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8727 Van Nuys Blvd, Panorama City, CA 91402
Phone: 818-899-5555    
Sharon M Poncher, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    
Velda C Mowry, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.