Active NPI
Diana Servin Alcantar
- Occupational Therapist
- Corte Madera, CA
National Provider Identifier
1679418875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 28062
- Practice address
- 5555 Paradise Dr
Corte Madera, CA 94925-1861 - Phone
- (415) 874-0777
- NPI assigned
- Apr 22, 2026
- Last updated
- Apr 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 28062 | CA | Primary |
Addresses
Primary practice location
5555 Paradise Dr
Corte Madera, CA 94925-1861
Mailing address
5555 Paradise Dr
Corte Madera, CA 94925-1861
Other practice location 1
800 Mission Ave
San Rafael, CA 94901-3280
Phone (415) 856-9955
Other names 1
- Diana Servin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24441 Calle Sonora
Laguna Woods, CA 92637-7714
Phone (949) 243-5710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1776816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1679418875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 PARADISE DR",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 PARADISE DR",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251861",
"telephone_number": "415-874-0777"
}
],
"practiceLocations": [
{
"address_1": "800 Mission Ave",
"address_purpose": "LOCATION",
"city": "San Rafael",
"state": "CA",
"postal_code": "949013280",
"country_code": "US",
"telephone_number": "415-856-9955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERVIN ALCANTAR",
"first_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "28062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "SERVIN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.