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Gisele Kiana Diaz, APCC

Counselor, Professional in San Diego, CA. Individual provider (NPI-1).

NPI number1194445262
StatusActive
Last updated in NPPESOct 5, 2023

Details

NPI
1194445262
Entity type
Individual (NPI-1)
Name
Gisele Kiana Diaz
Credential
APCC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2022
Certification date
Oct 5, 2023
Last updated
Oct 5, 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 codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalLPCC14775CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Other names

  • Kiana Diaz (Other Name)

Practice location

5348 University Ave Ste 108
San Diego, CA 92105-8025

Phone 619-255-9278

Mailing address

5348 University Ave Ste 108
San Diego, CA 92105-8025

Phone 619-255-9278

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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