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Edgar Diaz

Case Manager/Care Coordinator β€’ Fairfield, CA

Active NPI 1306378260 Individual Practitioner Male Practitioner
Practice location in NPPES

2101 Courage Dr
Fairfield, CA 945336717

Call 7077841133 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2101 Courage Dr

Fairfield, CA 945336717

Telephone 7077841133
Organization at the Same NPPES Address or Phone
Telecare Corporation Facility NPI 1447336508

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fairfield and California

60 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Fairfield, CA (22,844 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fairfield

0% of these 60 clinicians have the CMS telehealth indicator.

0% of these 60 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-19
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Rehabilitation Practitioner

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Anna Marie Antonio , FNP

Nurse Practitioner - Family

NPI 1811087232

Family Nurse Practitioner

Lauren Carrizosa , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013463827

Nurse Practitioner

Dr. Steven Ciric , MD

Psychiatry & Neurology - Psychiatry

NPI 1679612626

Doctor of Medicine (M.D.)

Dr. Jocelyn Cruz , MD

Psychiatry & Neurology - Psychiatry

NPI 1033270400

Doctor of Medicine (M.D.)

Sharon Figueroa , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1417476680

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

NPI 1689862146

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2025

Counselor

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2023

Case Manager/Care Coordinator

πŸ“
Updated Practice Location August 23, 2021

Registered at 2101 COURAGE DR, FAIRFIELD, CA 945336717 (Tel: 7077841133)

πŸ“
Updated Business Mailing Address August 23, 2021

Registered at 532 HASTINGS DR, BENICIA, CA 945101326

βœ…
NPI Profile Active March 30, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 30, 2017

Registered at 236 GEORGIA STREET SUITE 101, VALLEJO, CA 94590 (Tel: 7075672204)

πŸ“
Business Mailing Address (Initial Record) March 30, 2017

Registered at 236 GEORGIA STREET SUITE 101, VALLEJO, CA 94590

πŸ‘€
Provider Name / Credentials (Initial Record) March 30, 2017

Recorded as EDGAR DIAZ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2017

Counselor

🟒
Initial NPI Registration & Enumeration March 30, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306378260
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2017
Last Update: June 19, 2025
Sole Proprietor: No

Mailing Address

532 Hastings Dr

Benicia, CA 945101326

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.