Individual provider Active NPI

Dianna Diallo, MD

  • Specialist
  • Monterey, CA
National Provider Identifier
1417994708
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A86861 Issued in CA
Practice address
2 Upper Ragsdale Dr Ste B210
Monterey, CA 93940-7851
Phone
(831) 333-0999
Fax
(831) 333-0909
NPI assigned
Jun 2, 2006
Last updated
Sep 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A86861 CA Primary

Addresses

Primary practice location

2 Upper Ragsdale Dr Ste B210
Monterey, CA 93940-7851

Mailing address

2 Upper Ragsdale Dr Ste B210
Monterey, CA 93940-7851
Phone (831) 333-0999

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141001001611 CA Practitioner - Pediatric Medicine 5597793000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A86861CAMDSpecialist
86861CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Jul 15, 2014 Accepting new patients
County of Monterey CurrentSince Jul 15, 2014 Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients

Locations

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1417994708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR STE B210",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407851",
            "telephone_number": "831-333-0999",
            "fax_number": "831-333-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR STE B210",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407851",
            "telephone_number": "831-333-0999",
            "fax_number": "831-333-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIALLO",
        "first_name": "DIANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A86861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.