Individual provider Active NPI

Diane Marie Libert, BS, MPHIL, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • South San Francisco, CA
National Provider Identifier
1124654116
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A184273 Issued in CA
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

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

Verify at the official NPI Registry.