Organization Active NPI

Diana F Guthaner M D Inc

  • Mammography Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1578613907
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
A30203 Issued in CA
Legal business name
DIANA F GUTHANER M D INC
Practice address
2421 Park Blvd Ste B202
Palo Alto, CA 94306-1956
Phone
(650) 617-8655
Fax
(650) 322-3416
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Dr. Diana Guthaner, MD
Title
President
Phone
(650) 617-8655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X A30203 CA Primary

Addresses

Primary practice location

2421 Park Blvd Ste B202
Palo Alto, CA 94306-1956

Mailing address

2421 Park Blvd Ste B202
Palo Alto, CA 94306-1956
Phone (650) 617-8655

Other identifiers 1

IdentifierTypeStateIssuer
300007822OtherCAMEDICARE RAILROAD

Other names 1

  • NORTHERN CALIFORNIA WOMENS IMAGING CENTER INC Doing business as

National Provider Directory

National Provider Directory

Locations

900 Welch Rd
Ste 101
Palo Alto, CA 94304
Phone (650) 493-6055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1578613907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 PARK BLVD STE B202",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061956",
            "telephone_number": "650-617-8655",
            "fax_number": "650-322-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 PARK BLVD STE B202",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061956",
            "telephone_number": "650-617-8655",
            "fax_number": "650-322-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA F GUTHANER M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "GUTHANER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-617-8655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "CA",
            "license": "A30203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "300007822",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHERN CALIFORNIA WOMENS IMAGING CENTER INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHERN CALIFORNIA WOMENS IMAGING CENTER INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.