Jean Diesto, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95006875 Issued in CA

Practice address

1711 W Temple St Ste 3600
Los Angeles, CA 90026-7338

Phone

(213) 989-0700

NPI assigned

Aug 18, 2017

Last updated

Nov 16, 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

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beverly Community ClinicGroup PAC ID 7810301926, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Beverly Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1144791500
  Medicare reassignment Care Compare group NPD
• Clinica Medica Dr Juan Escobar Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1942444286
  Medicare reassignment NPD
• St Nicholas Medical Group

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1891026100
  NPD (past)

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1770009045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST STE 3600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900267338",
            "telephone_number": "626-354-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST STE 3600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900267338",
            "telephone_number": "213-989-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIESTO",
        "first_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95006875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Diep
• Xuan Diep, D.C.
• Fanny Dieppa
• Patricia Dies
• Diesel Surgery Center
• Garry P. Dieter, MD
• Camille Dieterle
• Dietitianshar Consulting Services
• Courtney Allison Dietler
• Brian Damien Dietrich, PH.D.

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.