NPPES file of Aug 9, 2026

Kelly Ethel Diaz

Athletic Trainer · La Canada, CA

Kelly Ethel Diaz is an athletic trainer with a practice address in La Canada, California, and NPI 1104641059, issued on Nov 16, 2024. Check the license (California 2000058035, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104641059
Name
Kelly Ethel Diaz
Primary taxonomy
Athletic Trainer 2255A2300X
License numbers
2000058035 CA
004992 NY
Self-reported in NPPES; status is on the state search
Practice location
200 Foothill Blvd, La Canada, CA 91011
Phone
(818) 826-1637
Enumerated
Nov 16, 2024
Record last updated
Sep 14, 2025
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 200 Foothill Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Joel Doerning, ATCAthletic Trainer1841700986
  2. Eli Hallak, ATCAthletic Trainer1740244656

Verify Kelly Ethel Diaz in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 2000058035
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

4 athletic trainer records list a practice address in La Canada

They are 4 of the 222 NPPES records with a practice address in La Canada, and 2,605 athletic trainer records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other athletic trainer records in California

  1. Katie Aanerud, ATCMorro Bay, CA1619386760
  2. Thomas Abdenour, ATCOakland, CA1356313035
  3. Britney Abe, MA, ATC, CEISModesto, CA1316450380
  4. Franz AbellonHuntington Beach, CA1194290445
  5. Joan Abrahamsen, ATCOrange, CA1265867998
  6. Ronald Abrew, A.T.,C.Walnut Creek, CA1245245083
  7. Joshua AdameFresno, CA1467843490
  8. Devin Adams, M.A., A.T.C.Irvine, CA1700115664
  9. Jamie Adams, ATCSan Luis Obispo, CA1447212311
  10. Lynea AdamsSacramento, CA1518400985

Common questions

What is Kelly Ethel Diaz's NPI number?

Kelly Ethel Diaz's National Provider Identifier (NPI) is 1104641059, issued on Nov 16, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Kelly Ethel Diaz located?

The NPPES record lists a practice address at 200 Foothill Blvd, La Canada, CA, 91011. Phone: (818) 826-1637. Providers update this record themselves, so call before visiting.

How can I verify Kelly Ethel Diaz's license?

NPPES lists California license number 2000058035, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.