Diana Maribel Ponce, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA67478 Issued in CA

Practice address

7910 Atlantic Ave
Suite M
Los Angeles, CA 90201

Phone

(323) 908-4200

Fax

(323) 432-4877

NPI assigned

Dec 14, 2022

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1376255075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900113629",
            "telephone_number": "323-908-4200",
            "fax_number": "323-432-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 ATLANTIC AVE",
            "address_2": "SUITE M",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "323-908-4200",
            "fax_number": "323-432-4877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Santa Fe Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902555731",
            "country_code": "US",
            "telephone_number": "323-908-4200",
            "fax_number": "323-432-4877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4811 Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Cudahy",
            "state": "CA",
            "postal_code": "902015205",
            "country_code": "US",
            "telephone_number": "323-908-4200",
            "fax_number": "323-432-4877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2680 Saturn Ave Ste 220280",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902554377",
            "country_code": "US",
            "telephone_number": "323-908-4200",
            "fax_number": "323-432-4877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3410 Hooper Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900112161",
            "country_code": "US",
            "telephone_number": "323-908-4200",
            "fax_number": "323-432-4877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2602 Vallejo St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900313032",
            "country_code": "US",
            "telephone_number": "323-332-8149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1028 E Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900113717",
            "country_code": "US",
            "telephone_number": "323-908-4200",
            "fax_number": "323-432-4877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONCE",
        "first_name": "DIANA",
        "middle_name": "MARIBEL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Sagrario Ponce
• Angelica Ponce
• Audrey Arely Ponce, ACSW, MSW, PPSC
• Brenda Ponce, BA, CADC III
• Carmen L Ponce
• Edson Geovany Ponce
• Gloria Ponce
• Jerry Frederick Ponce, RPT
• Jessica Ponce
• Maria C. Ponce, M.D.

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.