DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JAIRO DIAZ

MEDICARE: JAIRO 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
1167G00000XLicensed Psychiatric TechnicianPT41795CA
2390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1891284915
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIRO DIAZ
Provider Business Mailing Address
First Line : 1986 BRIGHTON AVE
Second Line :
City : GROVER BEACH
State : CA
Zip : 93433-1816
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2180 JOHNSON AVE
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-4558
Country : US
Telephone Number : 805-458-5755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2018
Last Update Date : 01/15/2026

Similar Medicare Providers

1982645180 — KATHRYN LORRAINE DOLEZAL FNP
Practice Location Address:
2180 JOHNSON AVE
SAN LUIS OBISPO, CA
93401-4558
Practice Phone: 805-788-8294
Practice Fax: 805-203-5383
1063370799 — ETHAN ALVA SHEPPARD
Practice Location Address:
2180 JOHNSON AVE
SAN LUIS OBISPO, CA
93401-4558
Practice Phone: 805-781-4768
Practice Fax:
1922332055 — RACHEL DIANE MCSPADDEN TARVER MS, LMFT, RPT-S
Practice Location Address:
2180 JOHNSON AVE
SAN LUIS OBISPO, CA
93401-4558
Practice Phone: 805-779-0571
Practice Fax:
1003980251 — KONIKA ROSENBAUM MCPHERSON MFTI
Practice Location Address:
2180 JOHNSON AVE
SAN LUIS OBISPO, CA
93401-4558
Practice Phone: 805-781-4865
Practice Fax:
1942358304 — MS. ANN MARIE VAUGHN
Practice Location Address:
2180 JOHNSON AVE
SAN LUIS OBISPO, CA
93401-4558
Practice Phone: 805-781-4275
Practice Fax:
1689727828 — MS. LESLEY AXTELL
Practice Location Address:
2180 JOHNSON AVE
SAN LUIS OBISPO, CA
93401-4558
Practice Phone: 805-781-4715
Practice Fax:

Directions to “ JAIRO DIAZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.