Active NPI
Dianna L Lange, NP
- Nurse Practitioner
- Emeryville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 23653
- Practice address
- 2100 Powell Street
Suite 900
Emeryville, CA 94608 - Phone
- (510) 350-2600
- NPI assigned
- Sep 25, 2013
- Last updated
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 23653 | CA | Primary |
Addresses
Primary practice location
2100 Powell Street
Suite 900
Emeryville, CA 94608
Mailing address
2100 Powell St
Emeryville, CA 94608-1826
Phone (510) 350-2600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500
5652 Calle Real
Goleta, CA 93117-2317
Phone (805) 879-4239
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23653 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cottage Clinical Network, LLC | Current | Accepting new patients | |
| Cottage Medical Associates | Past | Accepting new patients |
Locations
328 McMurray Rd
Ste 102
Buellton, CA 93427
Phone (805) 688-2600
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
7070 Hollister Ave
Ste 103
Goleta, CA 93117
Phone (805) 324-9270
7070 Hollister Ave
Ste C23
Goleta, CA 93117
24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
1606 E Clark Ave
#102
Orcutt, CA 93455
1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
3970 Broad St
Ste 2
San Luis Obispo, CA 93401
Phone (805) 762-4996
777 E Foothill Blvd
San Luis Obispo, CA 93405
Phone (805) 762-4348
1298 Coast Village Rd
Santa Barbara, CA 93108
Phone (805) 565-1565
3885 State St
Ste A
Santa Barbara, CA 93105
Phone (805) 569-7351
5652 Calle Real
Santa Barbara, CA 93117
Phone (805) 641-6033
1846 N Broadway
#A
Santa Maria, CA 93454
Phone (805) 361-4279
3596 Skyway Dr
Ste A
Santa Maria, CA 93455
1708 S Victoria Ave
Ste D
Ventura, CA 93003
Phone (805) 290-4985
Organizations & group practices 5
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.
-
dba Cottage Urgent Care
- Urgent Care Clinic/Center
- Santa Barbara, CA
- NPI 1588209357
-
- Internal Medicine Physician
- Santa Barbara, CA
- NPI 1972669562
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. John's Regional Medical Center
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1245666981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 POWELL STREET",
"address_2": "SUITE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "94608",
"telephone_number": "510-350-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "DIANNA",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-25",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "23653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.