Angelique Marie Diaz, PA
NPI 1194438622ActiveIndividual· Physician Assistant· Sacramento, CA
Physician Assistant (PA) with Clinic Services of California Medical Group Inc, practicing in Sacramento, California. 233 Medicare patients in 2024, $23,756 paid; nearly all of their 264 Part D prescriptions were generic (97%). Lists Grossmont Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1194438622 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Dec 29, 2022 |
| Last updated in NPPES | Dec 29, 2022 |
| Certified by provider | Dec 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 233 |
|---|---|
| Services billed | 264 across 18 procedure codes |
| Paid by Medicare | $23,756 |
Part D prescriptions in 2024
| Prescriptions (claims) | 264 · 264 30-day fills |
|---|---|
| Patients | 172 |
| Total drug cost | $3,519 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Clinic Services of California Medical Group IncColton, CA · 61 clinicians
Hospital affiliations
- Grossmont HospitalLa Mesa, CA
- Sharp Chula Vista Medical CenterChula Vista, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 392 physician assistants in Sacramento · All physician assistants in California