Active NPI
Diana L. Pasquarello, PA-C
- Physician Assistant
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA16937
- Practice address
- 215 S Hickory St Ste 114
Escondido, CA 92025-4360 - Phone
- (760) 704-9429
- NPI assigned
- Oct 17, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA16937 | CA | Primary |
Addresses
Primary practice location
215 S Hickory St Ste 114
Escondido, CA 92025-4360
Mailing address
215 S Hickory St Ste 114
Escondido, CA 92025-4360
Phone (760) 704-9429
Other practice location 1
225 E 2nd Ave
Escondido, CA 92025-4212
Phone (760) 291-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA16937 | Other | CA | LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX, IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1953 San Elijo Ave
Suite 200
Cardiff, CA 92007-2348
9 Executive Campus
Cherry Hill, NJ 08002-4502
909 NE Loop
San Antonio, TX 78209-1309
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA16937 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott Gillin MD Inc | Current | Accepting new patients |
Locations
1953 San Elijo Ave
Ste 200
Cardiff, CA 92007
Phone (858) 215-2618
Interoperability endpoints
- diana.pasquarello.1@33079.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Pediatric Anesthesiology Physician
- Cardiff, CA
- NPI 1770468548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1417037912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S HICKORY ST STE 114",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254360",
"telephone_number": "760-704-9429",
"fax_number": "760-737-7324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S HICKORY ST STE 114",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254360",
"telephone_number": "760-704-9429"
}
],
"practiceLocations": [
{
"address_1": "225 E 2nd Ave",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920254212",
"country_code": "US",
"telephone_number": "760-291-6700",
"fax_number": "760-737-7324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASQUARELLO",
"first_name": "DIANA",
"middle_name": "L.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2023-03-07",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA16937",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC",
"identifier": "PA16937",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.