IndividualActive
Mario Diaz, P.A.
NPI 1164460697 · Internal Medicine Physician · Salem, OR
Provider details
- NPI number
- 1164460697
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- PA057229 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2020 Capitol St Ne
Salem, OR 97303-3244
Phone: (503) 399-2424
Fax: (503) 375-7429
Street-level locationGet directions
Mailing address
Po Box 8100
Salem, OR 97303-0900
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2010-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.