ANGELIQUE MARIE DIAZ (PA) – Physician Assistant, NPI 1194438622

ANGELIQUE MARIE DIAZ (PA) is a healthcare provider. based in Oakland, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for ANGELIQUE MARIE DIAZ (PA) is 1194438622

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ANGELIQUE MARIE DIAZ (PA)
NPI
1194438622
Phone
(800) 607-6377
Address
3100 TELEGRAPH AVE
Enumeration Date
29 December 2022
Last Update Date
29 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6197405724
Graduation Year
2022 (4 years ago)
PAC ID
9537533096
Group Practice PAC ID
7810209715
Professional Enrollment ID
I20230323001775
Address ID
CA919423061LA8851XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for ANGELIQUE MARIE DIAZ (PA)

  • 3100 TELEGRAPH AVE

    OAKLAND, CA 946093239

    Phone: (800) 607-6377

    Type: Mailing

  • 2825 CAPITOL AVE

    SACRAMENTO, CA 958166039

    Phone: (916) 887-1130

    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: 2023-03-23

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
I20230323001775IPhysician AssistantCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making7976$0
99285Emergency department visit with high level of medical decision making6160$0
99291Critical care, first 30-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 94609)

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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: 7810209715View full group profile
NameSpecialtyState
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)CA
Physician AssistantCA
Internal MedicineCA
Internal MedicineCA
-CA
-CA
Physician AssistantOR
-CA
Nurse PractitionerCA
Internal Medicine, Family PracticeCA

Reviews

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Frequently asked questions

What is the standard ID for ANGELIQUE MARIE DIAZ (PA) in the U.S.?
In the U.S., ANGELIQUE MARIE DIAZ (PA) is identified by NPI 1194438622.
Is ANGELIQUE MARIE DIAZ (PA) currently accepting referrals based on NPI status?
Registry metadata lists ANGELIQUE MARIE DIAZ (PA) as active.
What does the directory say ANGELIQUE MARIE DIAZ (PA) does?
Insurance directories may phrase it differently, but here ANGELIQUE MARIE DIAZ (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANGELIQUE MARIE DIAZ (PA)?
ANGELIQUE MARIE DIAZ (PA) is associated with Oakland, California in the same public data insurers reference.
Why is information missing for ANGELIQUE MARIE DIAZ (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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