Diana Elizabeth Riley, M.P.H., M.S.,P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

16295 Issued in CA

Practice address

5144 Hill Rd E
Lakeport, CA 95453-6300

Phone

(707) 263-8955

Fax

(707) 263-8340

NPI assigned

Jun 29, 2007

Last updated

May 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Lake County Tribal Health Consortium IncGroup PAC ID 8729975545, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Lakeside Hospital Hospital, Lakeport, CA, CCN 051329
• California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: diana.riley.p1@direct.lcthc.nextgenshare.com
• Direct secure messaging: driley@lakederm.emadirect.md

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.

• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804
  Medicare reassignment
• Golden State Dermatology Associates Inc

  • Dermatology Physician
  • Walnut Creek, CA
  • NPI 1700860871
  Medicare reassignment
• Hayes B. Gladstone, MD, PC.

  dba Gladstone Clinic for Skin Cancer, Lasers, Aesthetic Surgery

  • Dermatology Physician
  • Danville, CA
  • NPI 1376947978
  Medicare reassignment
• Lake County Tribal Health Consortium Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakeport, CA
  • NPI 1881697381
  Care Compare group NPD (past)
• Golden State Dermatology Associates, Inc.

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
  • NPI 1235738576
  NPD
• Lake Dermatology Medical Assoc Inc

  • Dermatology Physician
  • Lakeport, CA
  • NPI 1437346657
  NPD (past)
• Tom H Piatt MD Inc.

  • Diagnostic Radiology Physician
  • Oakland, CA
  • NPI 1598859100
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Bay Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1659439834
  Care Compare affiliation
• Sutter Bay Hospitals

  • Critical Access Hospital
  • Lakeport, CA
  • NPI 1952634008
  Care Compare affiliation

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1730386046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 PERSIMMON CMN UNIT 14",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945516540",
            "telephone_number": "925-786-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 HILL RD E",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536300",
            "telephone_number": "707-263-8955",
            "fax_number": "707-263-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "DIANA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.P.H., M.S.,P.A.-C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "16295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Redwood Regional Medical Group, Inc. (Redwood Regional Oncology Center)
• Redwood Regional Medical Group, Inc. (Redwood Regional Oncology Center)
• Renal Treatment Centers California Inc (Lakeport Dialysis Center)
• Nancy Jane Reynolds, MD FACOG
• Yvonne Anne Riba, PA
• Sally A Riley, MFT
• Harvey Ripple, RPH
• Robert C Jolin DC a Chiropractic Corporation
• Joan Rogers
• Shauna Rogers

• Physician Assistant in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.