Diane Neilson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6590 Issued in CA

Practice address

4455 Morena Blvd Ste 102
San Diego, CA 92117-4329

Phone

(571) 276-0170

NPI assigned

Nov 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1235955972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S SIERRA AVE UNIT 23",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752222",
            "telephone_number": "571-276-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 MORENA BLVD STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174329",
            "telephone_number": "571-276-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILSON",
        "first_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "6590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neighborhood House Association
• Shawn Neil, IDC
• William Patrick Neil, M.D.
• Julie K Neill
• Calvin D Neilsen, DO
• Sharan Neiman, PHARMD
• Mia Nein
• Mariel Neis
• Uriel Kyle Ababat Neis
• Kameran Neises

• Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.