Active NPI
Dianne Grace Georgetti, NP
- Gerontology Nurse Practitioner
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 95022480
- Practice address
- 350 Parnassus Ave Ste 908
San Francisco, CA 94117-3612 - Phone
- (415) 353-2119
- Fax
- (415) 353-2406
- NPI assigned
- Mar 13, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 95022480 | CA | Primary |
| Case Management Registered Nurse | 163WC0400X | 706152 | CA |
Addresses
Primary practice location
350 Parnassus Ave Ste 908
San Francisco, CA 94117-3612
Mailing address
350 Parnassus Ave Ste 908
San Francisco, CA 94117-3612
Phone (415) 353-2119
Other practice location 1
1580 Maple St
Redwood City, CA 94063-2720
Phone (650) 364-1150
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 706152 | CA | MD | Case Management Registered Nurse |
| 95022480 | CA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven and Michael Hochman Medical Corporation Inc. | Current | Accepting new patients | |
| Chaparral Medical Group Inc | Current | Accepting new patients | |
| Chaparral Medical Group, Inc. | Current | Accepting new patients | |
| Chaparral Medical Group Inc. | Current | Accepting new patients | |
| Asian and Pacific Islander Wellness Center, Inc. | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients |
Locations
2800 S Ventura Rd
Oxnard, CA 93033
Phone (805) 984-0144
1801 W Olympic Blvd
Pasadena, CA 91199
1866 N Orange Grove Ave
Ste 104
Pomona, CA 91767
Phone (909) 591-6414
1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796
840 Towne Center Dr
Pomona, CA 91767
8055 Foothill Blvd
Ste A
Sunland, CA 91040
Phone (213) 783-0439
Interoperability endpoints
- dgeorgetti165189@direct-ucsfmedicalcenter.org
Organizations & group practices 9
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.
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- Internal Medicine Physician
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-
- Internal Medicine Physician
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-
- Endocrinology, Diabetes & Metabolism Physician
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- Cardiovascular Disease Physician
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-
- Federally Qualified Health Center (FQHC)
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- Rheumatology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1306547757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 PARNASSUS AVE STE 908",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941173612",
"telephone_number": "415-353-2119",
"fax_number": "415-353-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PARNASSUS AVE STE 908",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941173612",
"telephone_number": "415-353-2119",
"fax_number": "415-353-2406"
}
],
"practiceLocations": [
{
"address_1": "1580 Maple St",
"address_purpose": "LOCATION",
"city": "Redwood City",
"state": "CA",
"postal_code": "940632720",
"country_code": "US",
"telephone_number": "650-364-1150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGETTI",
"first_name": "DIANNE",
"middle_name": "GRACE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "95022480",
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "706152",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.