Individual provider Active NPI

Dianne K Palasio, NP

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1194342451
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014089 Issued in CA
Practice address
710 S Central Ave Ste 330
Glendale, CA 91204-4647
Phone
(818) 500-8739
NPI assigned
Jul 1, 2020
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95014089 CA Primary

Addresses

Primary practice location

710 S Central Ave Ste 330
Glendale, CA 91204-4647

Mailing address

9636 Pine Orchard St
Pacoima, CA 91331-6904
Phone (818) 634-0082

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
I20210312001305 CA Practitioner - Nurse Practitioner 1850707019 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Primary Health Care Corp CurrentSince Jul 5, 2020 Accepting new patients
Prompt Laboratories Inc CurrentSince Aug 7, 2022 Accepting new patients
NP Dianne Palasio LLC Family Current Accepting new patients
Empress Healthcare Inc Current Accepting new patients
Revive 3.2 Wellness Nursing PC Family Current Accepting new patients
Wello Wound Care Nursing PC Family CurrentSince Dec 18, 2025 Accepting new patients
Restore Mobile Wound Care CurrentSince Aug 1, 2025 Accepting new patients

Locations

1300 Valley Vista Dr
Ste 102
Diamond Bar, CA 91765
Phone (626) 389-7498

710 S Central Ave
Ste 330
Glendale, CA 91204
Phone (818) 263-5737

10328 Reseda Blvd
Northridge, CA 91326
Phone (818) 634-0082

11239 Ventura Blvd
Ste 212
Studio City, CA 91604
Phone (818) 505-0152

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Empress Healthcare IncChatsworth, CA, CCN 757523 Home health agency W-2 Managing Employee (100%) Oct 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1194342451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9636 PINE ORCHARD ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913316904",
            "telephone_number": "818-634-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S CENTRAL AVE STE 330",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044647",
            "telephone_number": "818-500-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALASIO",
        "first_name": "DIANNE",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.