Individual provider Active NPI

Dianne Munoz

  • Family Nurse Practitioner
  • Chula Vista, CA
National Provider Identifier
1427565001
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007838 Issued in CA
Practice address
855 Third Ave #3340
Chula Vista, CA 91911-1911
Phone
(619) 427-1300
NPI assigned
Jan 4, 2018
Last updated
Nov 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007838 CA Primary

Addresses

Primary practice location

855 Third Ave #3340
Chula Vista, CA 91911-1911

Mailing address

7556 Goode St
San Diego, CA 92139-1337
Phone (619) 274-2313

Other practice location 1

2683 Via De La Valle # G626
Del Mar, CA 92014-1911
Phone (858) 481-0412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95007838CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Markopoulos MD Inc Past Accepting new patients

Organizations & group practices 1

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": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1427565001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7556 GOODE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921391337",
            "telephone_number": "619-274-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 THIRD AVE #3340",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111911",
            "telephone_number": "619-427-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2683 Via De La Valle # G626",
            "address_purpose": "LOCATION",
            "city": "Del Mar",
            "state": "CA",
            "postal_code": "920141911",
            "country_code": "US",
            "telephone_number": "858-481-0412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "DIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.