Diane H Bedrosian, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G70705 Issued in CA

Practice address

2067 W Vista Way Ste 280
Vista, CA 92083-6034

Phone

(760) 941-3630

Fax

(760) 941-3879

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dbedrosian21886@epiclp.direct-ci.com

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.

• Rady Children'S Hospital San Diego

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Diego, CA
  • NPI 1851303994
  NPD (past)
• Tri-City Hospital

  • General Acute Care Hospital
  • Oceanside, CA
  • NPI 1801861190
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1447323951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 THUNDER DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836010",
            "telephone_number": "760-941-3630",
            "fax_number": "760-941-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY STE 280",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836034",
            "telephone_number": "760-941-3630",
            "fax_number": "760-941-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDROSIAN",
        "first_name": "DIANE",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G70705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G707050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baum Psychology PC
• Alexandra Baum
• Nieva R. Bautista, D.M.D.
• Armando Baza-Vargas, PA-C
• Sarah Beckhuson, D.C.
• Kalmia Beets
• Dana Christopher Behl
• Etleva Bejko, M.D.
• Believing in Change
• Amy Mairson Bell, NP

• Pediatrics Physician in Vista, CA
• Providers in Vista, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.