DIEGO FERNANDO JR. BELALCAZAR (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1144095597

DIEGO FERNANDO JR. BELALCAZAR (PMHNP-BC) is a healthcare provider. based in Irvine, California. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 95027520 (CA). The NPI Number for DIEGO FERNANDO JR. BELALCAZAR (PMHNP-BC) is 1144095597

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
DIEGO FERNANDO JR. BELALCAZAR (PMHNP-BC)
NPI
1144095597
Phone
(714) 545-5550
Address
19782 MACARTHUR BLVD STE 300
Enumeration Date
15 November 2023
Last Update Date
28 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7145455550
Graduation Year
2023 (3 years ago)
PAC ID
2365959780
Group Practice PAC ID
3375796170
Professional Enrollment ID
I20250729004624
Address ID
CA928683838OR1310XDRXX405
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for DIEGO FERNANDO JR. BELALCAZAR (PMHNP-BC)

  • 19782 MACARTHUR BLVD STE 300

    IRVINE, CA 926122417

    Phone: (714) 545-5550

    Type: Mailing

  • 1310 W STEWART DR STE 306

    ORANGE, CA 928683838

    Phone: (714) 545-5550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250729004624INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375796170View full group profile
NameSpecialtyState
Physician AssistantCA
Certified Clinical Nurse Specialist (Cns)CA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

What number should I use to identify DIEGO FERNANDO JR. BELALCAZAR (PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1144095597 for DIEGO FERNANDO JR. BELALCAZAR (PMHNP-BC).
Should I treat DIEGO FERNANDO JR. BELALCAZAR (PMHNP-BC) as an active provider?
Patients and plans typically see DIEGO FERNANDO JR. BELALCAZAR (PMHNP-BC) as active in the national extract.
How should patients interpret DIEGO FERNANDO JR. BELALCAZAR (PMHNP-BC)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for DIEGO FERNANDO JR. BELALCAZAR (PMHNP-BC). Clinical services aligned with this taxonomy classification.
Is DIEGO FERNANDO JR. BELALCAZAR (PMHNP-BC) tied to Irvine, California?
If you are local to Irvine, California, DIEGO FERNANDO JR. BELALCAZAR (PMHNP-BC) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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