Organization Active NPI

Dianne Bedford Nurse Practitioner a Professional Nursing Corporation

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1063363273
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DIANNE BEDFORD NURSE PRACTITIONER A PROFESSIONAL NURSING CORPORATION
Practice address
640 S San Vicente Blvd Ste 584
Los Angeles, CA 90048-4661
Phone
(323) 373-3133
NPI assigned
Feb 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Dianne Bedford, NPNPI 1750425039
Title
Owner
Phone
(323) 373-3133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

640 S San Vicente Blvd Ste 584
Los Angeles, CA 90048-4661

Mailing address

640 S San Vicente Blvd Ste 584
Los Angeles, CA 90048-4661
Phone (323) 373-3133

National Provider Directory

National Provider Directory

Locations

640 S San Vicente Blvd
Ste 584
Los Angeles, CA 90048
Phone (323) 373-3133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1063363273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S SAN VICENTE BLVD STE 584",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484661",
            "telephone_number": "323-373-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S SAN VICENTE BLVD STE 584",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484661",
            "telephone_number": "323-373-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANNE BEDFORD NURSE PRACTITIONER A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "BEDFORD",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-373-3133",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.