MEDICARE: NEREIDA ZARATE DIAZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	ASW125148	CA

General Provider Information

NPI Number	:	1558990655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEREIDA ZARATE DIAZ

Provider Business Mailing Address
First Line	:	PO BOX 912
Second Line	:
City	:	SANGER
State	:	CA
Zip	:	93657-0912
Country	:	US
Telephone Number	:	559-644-8155
Fax Number	:

Provider Business Practice Location Address
First Line	:	3109 N MILLBROOK AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93703-1425
Country	:	US
Telephone Number	:	559-600-9180
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	02/18/2026

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