Melody Diaz
Peer Specialist in Jurupa Valley, CA. Individual provider (NPI-1).
NPI number1083285290
StatusActive
Last updated in NPPESJul 10, 2023
Details
- NPI
- 1083285290
- Entity type
- Individual (NPI-1)
- Name
- Melody Diaz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2021
- Certification date
- Jun 8, 2023
- Last updated
- Jul 10, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | MPSS-HYIRTF | CA | Yes |
| 106S00000X | Behavior Technician | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
3924 Riverview DrJurupa Valley, CA 92509-6611
Phone 951-416-1572
Mailing address
3924 Riverview DrJurupa Valley, CA 92509-6611
Phone 951-416-1572
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Peer Specialist providers in Jurupa Valley · All 395 providers in Jurupa Valley
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