Individual provider Active NPI

Diane Allene Hull, P.A.

  • Physician Assistant
  • Santa Cruz, CA
National Provider Identifier
1184810988
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12699 Issued in CA
Practice address
21507 E Cliff Dr
Santa Cruz, CA 95062-4844
Phone
(831) 427-3500
NPI assigned
Sep 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12699 CA Primary

Addresses

Primary practice location

21507 E Cliff Dr
Santa Cruz, CA 95062-4844

Mailing address

2980 El Rancho Dr
Santa Cruz, CA 95060-1103
Phone (831) 438-1430

Other practice location 1

2980 El Rancho Dr
Santa Cruz, CA 95060-1103
Phone (831) 438-1430

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
I20160831001452 CA Order and Referring Only - Physician Assistant 3577859537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12699CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medical Group Past Accepting new patients

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": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1184810988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 EL RANCHO DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601103",
            "telephone_number": "831-438-1430",
            "fax_number": "831-438-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21507 E CLIFF DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624844",
            "telephone_number": "831-427-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2980 El Rancho Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950601103",
            "country_code": "US",
            "telephone_number": "831-438-1430",
            "fax_number": "831-438-2473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULL",
        "first_name": "DIANE",
        "middle_name": "ALLENE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA12699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.