Individual provider Active NPI

Diana Frances Saylor, PA-C

  • Physician Assistant
  • Mill Valley, CA
National Provider Identifier
1497888614
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
19543 Issued in CA
Practice address
619 E. Blithedale Ave
Suite #a
Mill Valley, CA 94941
Phone
(415) 388-2801
Fax
(415) 388-2803
NPI assigned
Mar 14, 2007
Last updated
Dec 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 19543 CA Primary
Medical Physician Assistant 363AM0700X 1499 AZ

Addresses

Primary practice location

619 E. Blithedale Ave
Suite #a
Mill Valley, CA 94941

Mailing address

619 E. Blithedale Ave
Suite #a
Mill Valley, CA 94941
Phone (415) 388-2801

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108000052 CA Order and Referring Only - Physician Assistant 3173955457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1499AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mill Valley Dermatology, Inc PastSince Feb 15, 2023 Accepting new patients
Curtis F. Robinson MD Inc. PastSince May 2, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: diana.saylor.1@18479.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18479/brand/1/csg/1/fhir/r4

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, 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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1497888614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E. BLITHEDALE AVE",
            "address_2": "SUITE #A",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "94941",
            "telephone_number": "415-388-2801",
            "fax_number": "415-388-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E. BLITHEDALE AVE",
            "address_2": "SUITE #A",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "94941",
            "telephone_number": "415-388-2801",
            "fax_number": "415-388-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYLOR",
        "first_name": "DIANA",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19543",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.