Individual provider Active NPI

Diana Palmario, FNP-C

  • Family Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1508353988
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005085 Issued in CA
Practice address
31170 Temecula Pkwy Ste 100
Temecula, CA 92592-2915
Phone
(951) 698-6090
NPI assigned
Apr 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 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 95005085 CA Primary

Addresses

Primary practice location

31170 Temecula Pkwy Ste 100
Temecula, CA 92592-2915

Mailing address

35179 Hulihee St
Winchester, CA 92596-8515

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
I20200107000863 CA Order and Referring Only - Nurse Practitioner 6800220427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95005085CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1508353988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35179 HULIHEE ST",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31170 TEMECULA PKWY STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922915",
            "telephone_number": "951-698-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMARIO",
        "first_name": "DIANA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.