| Gustavo A Diaz, MD | |
|
1513 Fremont Blvd, E1, Seaside, CA 93955-4319 | |
| (831) 899-1910 | |
| (831) 393-9483 |
| Full Name | Gustavo A Diaz |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1513 Fremont Blvd, Seaside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538122635 | NPI | - | NPPES |
| 000000006706 | Other | MA | BMC |
| 04-3329195 | Other | MA | NORTH AMERICAN PREFERRED |
| 04-3329195 | Other | MA | GREAT-WEST |
| 102531 | Other | MA | CIGNA |
| 2359897 | Other | MA | AETNA |
| 04-3329195 | Other | MA | PHCS |
| 04-3329195 | Other | MA | UNICARE/GIC |
| 04-3329195 | Other | MA | NORTHEAST HEALTHCARE ALLI |
| 04-3329195 | Other | MA | NORTHEAST HEALTH DIRECT |
| 04-3329195 | Other | MA | PLAN VISTA |
| 053006 | Other | MA | TUFTS |
| 24922 | Other | MA | HEALTH NEW ENGLAND |
| 3000915 | Medicaid | MA | |
| 438822 | Other | MA | HARVARD PILGRIM |
| 632919 | Other | MA | CONNECTICARE |
| J08576 | Other | MA | BCBS MA |
| 04-3329195 | Other | MA | CONSOLIDATED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 53006 (Massachusetts) | Secondary |
| 207P00000X | Emergency Medicine | C54872 (California) | Primary |
| Entity Name | Pinnacle Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669557930 PECOS PAC ID: 8921081076 Enrollment ID: O20040609001432 |
| Entity Name | American Current Care Of California A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo A Diaz, MD Po Box 2300, Salinas, CA 93902-2300 Ph: (831) 649-1000 | Gustavo A Diaz, MD 1513 Fremont Blvd, E1, Seaside, CA 93955-4319 Ph: (831) 899-1910 |