Individual provider Active NPI

Diana Irene Lithgow, RN, FNP, PHD

  • Family Nurse Practitioner
  • Laguna Beach, CA
National Provider Identifier
1063634715
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN343032 Issued in CA
Practice address
362 3Rd St
Laguna Beach, CA 92651-2307
Phone
(949) 494-0761
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN343032 CA Primary

Addresses

Primary practice location

362 3Rd St
Laguna Beach, CA 92651-2307

Mailing address

19841 Flagstone LN
Huntington Beach, CA 92646-3820
Phone (714) 962-4145

Other names 1

  • Ms. Diana I Georges Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211028002421 CA Practitioner - Nurse Practitioner 1052709706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4537CAMDSpeech-Language Assistant
RN343032CAMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063634715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19841 FLAGSTONE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463820",
            "telephone_number": "714-962-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 3RD ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512307",
            "telephone_number": "949-494-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITHGOW",
        "first_name": "DIANA",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "RN, FNP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN343032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "GEORGES",
            "middle_name": "I",
            "prefix": "MS.",
            "credential": "RN, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.