TANYA DIAZ – Clinical Psychologist, NPI 1154639169

TANYA DIAZ is a healthcare provider. based in Novato, California. specializing in Clinical Psychologist. They hold a License No. PSY28094 (CA). The NPI Number for TANYA DIAZ is 1154639169

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TANYA DIAZ
NPI
1154639169
Phone
(415) 798-3164
Address
6100 REDWOOD BLVD
Enumeration Date
24 September 2010
Last Update Date
30 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5626380306
Graduation Year
2014 (12 years ago)
PAC ID
4082958616
Group Practice PAC ID
8426951328
Professional Enrollment ID
I20181207000903
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for TANYA DIAZ

  • 6100 REDWOOD BLVD

    NOVATO, CA 949454501

    Phone: (415) 798-3164

    Type: Mailing

  • 7211 PAINTER AVE

    WHITTIER, CA 906021451

    Phone: (562) 687-1098

    Fax: (562) 687-2025

    Type: Mailing

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: 2018-12-07

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
I20181207000903IClinical PsychologistCATBD

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 94945)

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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: 8426951328View full group profile

Reviews

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Frequently asked questions

What is the registry number for TANYA DIAZ?
The registry entry for TANYA DIAZ shows NPI 1154639169.
Is TANYA DIAZ's NPI status active today?
Active status means TANYA DIAZ's NPI record is not deactivated in the public file.
Which specialty label fits TANYA DIAZ?
NPPES ties TANYA DIAZ to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is TANYA DIAZ tied to Novato, California?
If you are local to Novato, California, TANYA DIAZ may be relevant to your search.
Can I export TANYA DIAZ's record?
You can download the official NPPES record; we summarize key fields for readability.

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