Individual provider Active NPI

Jacadi Diane Bignami, M.D.

  • Obstetrics & Gynecology Physician
  • Orange, CA
National Provider Identifier
1780023804
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A136277 Issued in CA
Practice address
805 W la Veta Ave Ste 101
Orange, CA 92868-3928
Phone
(714) 997-9595
NPI assigned
Jun 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A136277 CA Primary

Addresses

Primary practice location

805 W la Veta Ave Ste 101
Orange, CA 92868-3928

Mailing address

805 W la Veta Ave Ste 101
Orange, CA 92868-3928
Phone (805) 252-4567

Other practice location 1

101 The City Drive South
UC Irvine Medical Center Bldg 56 Ste 800 Rte 81
Orange, CA 92868
Phone (714) 456-8224

Other practice location 2

101 Laguna Rd Ste 100
Fullerton, CA 92835-3634
Phone (714) 992-5350

Other names 1

  • Miss Jacadi Diane Johnson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbignami1374267@oc.providencedirect.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170921003319 CA Practitioner - Obstetrics/Gynecology 8426366477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 633-9111

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 633-7175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
136277CAMDClinical Social Worker
A136277CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Aug 13, 2017 Accepting new patients
Providence Medical Foundation CurrentSince Aug 13, 2017 Accepting new patients
Providence Medical Foundation Obstetrics & Gynecology Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

101 Laguna Rd
Ste 100
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

363 S Main St
Ste 345
Orange, CA 92868
Phone (714) 835-8715

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1780023804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W LA VETA AVE STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683928",
            "telephone_number": "805-252-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W LA VETA AVE STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683928",
            "telephone_number": "714-997-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 The City Drive South",
            "address_2": "UC Irvine Medical Center Bldg 56 Ste 800 Rte 81",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "92868",
            "country_code": "US",
            "telephone_number": "714-456-8224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Laguna Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928353634",
            "country_code": "US",
            "telephone_number": "714-992-5350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIGNAMI",
        "first_name": "JACADI",
        "middle_name": "DIANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A136277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbignami1374267@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "805 W La Veta Ave Ste 101",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928683928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACADI",
            "last_name": "JOHNSON",
            "middle_name": "DIANE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.