Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juan Carlos Diaz

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770269912

Juan Carlos Diaz is a Physician Assistant in Riverside, California. Qualified in 2023, 3 years ago. Practices with Exer Medical Corporation, a 333-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

8432 Magnolia Ave
Riverside, CA 92504-3206
Phone: (951) 552-8344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 63493 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770269912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Exer Medical Corporation — 333 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Riverside