Individual provider Active NPI

Diane Marie Quitoriano, R.N., P.H.N.

  • Case Manager/Care Coordinator
  • Ventura, CA
National Provider Identifier
1639336084
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2125 Knoll Dr
Ventura, CA 93003-7329
Phone
(805) 981-7640
Fax
(805) 654-7611
NPI assigned
May 21, 2008
Last updated
Jan 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 686985 CA
Registered Nurse 163W00000X 71745 CA
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2125 Knoll Dr
Ventura, CA 93003-7329

Mailing address

824 Ojai Rd
Santa Paula, CA 93060-1418
Phone (805) 229-7332

Other names 1

  • Ms. Diane Marie De Los Reyes Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
686985CAMDRegistered Nurse
71745CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1639336084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 OJAI RD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930601418",
            "telephone_number": "805-229-7332",
            "fax_number": "805-229-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 KNOLL DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037329",
            "telephone_number": "805-981-7640",
            "fax_number": "805-654-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUITORIANO",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "R.N., P.H.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "686985",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "71745",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "DE LOS REYES",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "R.N., P.H.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.