Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDY JESUS DIAZ
ActiveFREDY JESUS DIAZ is a Community Health Worker healthcare provider located in BIG BEAR LAKE, California. NPI 1083430854 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · BIG BEAR LAKE, CA
Registration Details
- NPI Number
- 1083430854
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 26, 2024 (1.7301918167456 yrs)
- Last Updated
- Dec 4, 2025
- License
-
MPSS-HFEGQM (CA)
Practice Information
- Address
-
PO BOX 6609BIG BEAR LAKE, CA, 923156609Browse CA providers · Browse ZIP 92315
- Phone
- 9098782326
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in BIG BEAR LAKE, CA
| Name | Credential | NPI |
|---|---|---|
| NICHOLE MCGIVNEY | — | 1437554375 |
| LINDA BRACKEN | — | 1386121739 |
| MRS. ANNEMIEKE STALCUP | — | 1407334311 |
| MR. PATRICK RUSSELL RICE | — | 1982173340 |
| CHIMWEMWE KAWONGA | — | 1801437595 |
| BRITTNEY ARLENE FERGUSON | — | 1679253454 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.