Individual provider Active NPI

Diana Ruth Bryant, MD

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1255425146
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G62214 Issued in CA
Practice address
1777 N Bellflower Blvd Ste 201
Long Beach, CA 90815-4020
Phone
(562) 961-9991
Fax
(562) 961-9891
NPI assigned
Oct 3, 2006
Last updated
Apr 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G62214 CA Primary

Addresses

Primary practice location

1777 N Bellflower Blvd Ste 201
Long Beach, CA 90815-4020

Mailing address

1777 N Bellflower Blvd Ste 201
Long Beach, CA 90815-4020
Phone (562) 961-9991

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100305000289 CA Practitioner - Internal Medicine 3971648650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Davis School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1760 Termino Ave
Suite 300
Long Beach, CA 90804-2157
Phone (562) 961-9991

1777 N Bellflower Blvd
Suite 210
Long Beach, CA 90815-4020
Phone (562) 719-2045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G62214CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Internal Medicine Current Accepting new patients
Prohealth Partners a Medical Group Internal Medicine CurrentSince Feb 1, 2001 Accepting new patients
Careconnectmd Ca PC CurrentSince Jun 24, 2022 Accepting new patients
Prohealth Partners a Medical Group Inc Internal Medicine Current Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine CurrentSince Feb 1, 2001 Accepting new patients
Dignity Health Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1760 Termino Ave
Ste 300
Long Beach, CA 90804
Phone (562) 933-6900

1777 N Bellflower Blvd
Ste 201
Long Beach, CA 90815
Phone (562) 494-4277

300 Redondo Ave
#B
Long Beach, CA 90814

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1255425146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD STE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154020",
            "telephone_number": "562-961-9991",
            "fax_number": "562-961-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD STE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154020",
            "telephone_number": "562-961-9991",
            "fax_number": "562-961-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "DIANA",
        "middle_name": "RUTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G62214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.