Individual provider Active NPI

Diana Lowry Havill, MD

  • Psychiatry Physician
  • Woodland Hills, CA
National Provider Identifier
1003053307
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
167486 Issued in CA
Practice address
6200 Canoga Ave Ste 350
Woodland Hills, CA 91367-7782
Phone
(818) 528-6165
Fax
(818) 405-2221
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 52425 AZ
Psychiatry Physician 2084P0800X D0068425 MD
Psychiatry Physician 2084P0800X 167486 CA Primary

Addresses

Primary practice location

6200 Canoga Ave Ste 350
Woodland Hills, CA 91367-7782

Mailing address

6200 Canoga Ave Ste 350
Woodland Hills, CA 91367-7782
Phone (818) 528-6165

Other practice location 1

8872 S Eastern Ave
Suite 250
Las Vegas, NV 89123-4900
Phone (702) 912-5872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160829002132 AZ Practitioner - Psychiatry 9436309002 Reassigns benefits to 1 organization
I20200228002180 CA Practitioner - Psychiatry 9436309002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Heritage Medical Group IncGroup PAC ID 7517284029, 62 clinicians

Practice addresses (Care Compare)

1805 Medical Ctr Dr
San Bernardino, CA 92411-1217
Phone (818) 518-9715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
167486CAMDAddiction (Substance Use Disorder) Counselor
D0068425MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Multi-Specialty Current Accepting new patients
Lifewell Behavioral Wellness CurrentSince Jun 22, 2021 Accepting new patients
District Medical Group, Inc Multi-Specialty CurrentSince Oct 12, 2018 Accepting new patients
District Medical Group, Inc Multi-Specialty CurrentSince Oct 12, 2018 Accepting new patients
Pacific Heritage Medical Group Inc Multi-Specialty CurrentSince Feb 1, 2024 Accepting new patients
Lifewell Behavioral Wellness Past Accepting new patients
Oakwood Creative Care Inc. Multi-Specialty PastSince Mar 12, 2024 Accepting new patients
District Medical Group, Inc Multi-Specialty Past Accepting new patients

Locations

570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000

2311 W Royal Palm Rd
Phoenix, AZ 85021
Phone (602) 269-5300

10844 N 23rd Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 353-2340

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715

Interoperability endpoints

  • Direct secure messaging: dhavill190318@direct.valleywisehealth.org
  • Direct secure messaging: diana.havillmd.p1@direct.lifewell.nextgenshare.com
  • Direct secure messaging: diana.havill.p1@direct.famdoc.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1003053307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 CANOGA AVE STE 350",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677782",
            "telephone_number": "818-528-6165",
            "fax_number": "866-405-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 CANOGA AVE STE 350",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677782",
            "telephone_number": "818-528-6165",
            "fax_number": "818-405-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8872 S Eastern Ave",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891234900",
            "country_code": "US",
            "telephone_number": "702-912-5872",
            "fax_number": "702-912-5099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVILL",
        "first_name": "DIANA",
        "middle_name": "LOWRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "52425",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0068425",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "167486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.