Individual provider Active NPI

Dianne Grace Georgetti, NP

  • Gerontology Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1306547757
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95022480 Issued in CA
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

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204000001 CA Practitioner - Nurse Practitioner 8820524648 Reassigns benefits to 5 organizations

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
University of California San FranciscoGroup PAC ID 4486567229, 1,780 clinicians

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

LicenseStateTypeSpecialty
706152CAMDCase Management Registered Nurse
95022480CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steven and Michael Hochman Medical Corporation Inc. CurrentSince Sep 1, 2025 Accepting new patients
Chaparral Medical Group Inc CurrentSince Jun 20, 2025 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Chaparral Medical Group Inc. CurrentSince Jun 20, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.