Individual provider Active NPI

Diane Flessas, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Monrovia, CA
National Provider Identifier
1164639753
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
G064595 Issued in CA
Practice address
1107 Starlit LN
Monrovia, CA 91016-1825
Phone
(626) 818-5959
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X G064595 CA Primary

Addresses

Primary practice location

1107 Starlit LN
Monrovia, CA 91016-1825

Mailing address

PO Box 2180
Monrovia, CA 91017-6180
Phone (626) 818-5959

Other names 1

  • Dr. Diane Moseley Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64595CAMDPharmacist
G064595CAMDHospice and Palliative Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1164639753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2180",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910176180",
            "telephone_number": "626-818-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 STARLIT LN",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910161825",
            "telephone_number": "626-818-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLESSAS",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G064595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "MOSELEY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.