Individual provider Active NPI

Diana L. Pasquarello, PA-C

  • Physician Assistant
  • Escondido, CA
National Provider Identifier
1417037912
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16937 Issued in CA
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PA16937OtherCALIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, IN, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20251029000343 CA Practitioner - Physician Assistant 3678062809 Reassigns benefits to 1 organization
I20260410001313 TX Practitioner - Physician Assistant 3678062809 Reassigns benefits to 1 organization
I20260413001435 IN Practitioner - Physician Assistant 3678062809 Reassigns benefits to 1 organization
I20260620000023 FL Practitioner - Physician Assistant 3678062809 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PA16937CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Gillin MD Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

1953 San Elijo Ave
Ste 200
Cardiff, CA 92007
Phone (858) 215-2618

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.