Susana Jacinto Diaz, is a
Licensed Vocational Nurse based in Petaluma, California. Susana Jacinto Diaz is licensed to practice in California (license number 275554) and her current practice location is
812 Saint Francis Dr, Petaluma, California. She can be reached at her office (for appointments etc.) via phone at
(209) 631-3042.
NPI number for Susana Jacinto Diaz is 1851714521 and her current mailing address is 812 Saint Francis Dr, Petaluma, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851714521.
Provider's Profile
Full Name | Susana Jacinto Diaz |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 812 Saint Francis Dr, Petaluma, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851714521
- Provider Enumeration Date: 01/30/2014
- Last Update Date: 07/09/2024
Medical Identifiers
Medical identifiers for Susana Jacinto Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851714521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 275554 (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. Susana Jacinto 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 |
Susana Jacinto Diaz, 812 Saint Francis Dr, Petaluma, CA 94954-4320 Ph: (209) 631-3042 | Susana Jacinto Diaz, 812 Saint Francis Dr, Petaluma, CA 94954-4320 Ph: (209) 631-3042 |
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