Individual
GUSTAVO A. DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 JEFFERSON AVE, REDWOOD CITY, CA 94063-1804
(650) 381-0616
Mailing address
100 WILSON RD STE 100, MONTEREY, CA 93940-7885
(831) 649-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
53006
MA
207P00000X
Emergency Medicine Physician
Primary
C54872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006706
BMC
MA
01
—
04-3329195
NORTH AMERICAN PREFERRED
MA
01
—
053006
TUFTS
MA
01
—
102531
CIGNA
MA
01
—
2359897
AETNA
MA
01
—
24922
HEALTH NEW ENGLAND
MA
05
—
3000915
—
MA
01
—
438822
HARVARD PILGRIM
MA
01
—
632919
CONNECTICARE
MA
01
—
J08576
BCBS MA
MA
Enumeration date
04/10/2006
Last updated
03/16/2026
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