Active NPI
Diana Mocan
- Adult Care Home Facility
- Vancouver, WA
National Provider Identifier
1154737930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 752658
- Practice address
- 3911 SE 157TH Ave
Vancouver, WA 98683-5310 - Phone
- (360) 944-1767
- NPI assigned
- Jul 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 752658 | WA | Primary |
Addresses
Primary practice location
3911 SE 157TH Ave
Vancouver, WA 98683-5310
Mailing address
3911 SE 157TH Ave
Vancouver, WA 98683-5310
Phone (360) 944-1767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 752658 | WA | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1154737930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 SE 157TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835310",
"telephone_number": "360-944-1767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 SE 157TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835310",
"telephone_number": "360-944-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCAN",
"first_name": "DIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "WA",
"license": "752658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.