Active NPI
Diane Marie Libert, BS, MPHIL, MD
- Anatomic Pathology & Clinical Pathology Physician
- South San Francisco, CA
National Provider Identifier
1124654116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A184273
- Practice address
- 383 E Grand Ave Ste a
South San Francisco, CA 94080-6234 - Phone
- (650) 616-2951
- NPI assigned
- Mar 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | A184273 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A184273 | CA | Primary |
Addresses
Primary practice location
383 E Grand Ave Ste a
South San Francisco, CA 94080-6234
Mailing address
383 E Grand Ave Ste a
South San Francisco, CA 94080-6234
Phone (650) 616-2951
Other practice location 1
170 Alameda De Las Pulgas
Redwood City, CA 94062-2751
Phone (650) 369-5811
Other practice location 2
2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785628800000",
"number": "1124654116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 E GRAND AVE STE A",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940806234",
"telephone_number": "650-616-2951",
"fax_number": "650-737-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 E GRAND AVE STE A",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940806234",
"telephone_number": "650-616-2951"
}
],
"practiceLocations": [
{
"address_1": "170 Alameda De Las Pulgas",
"address_purpose": "LOCATION",
"city": "Redwood City",
"state": "CA",
"postal_code": "940622751",
"country_code": "US",
"telephone_number": "650-369-5811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 Grant Rd",
"address_purpose": "LOCATION",
"city": "Mountain View",
"state": "CA",
"postal_code": "940404302",
"country_code": "US",
"telephone_number": "650-940-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIBERT",
"first_name": "DIANE",
"middle_name": "MARIE",
"credential": "BS, MPHIL, MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-21",
"last_updated": "2026-08-02",
"certification_date": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "CA",
"license": "A184273",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A184273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.