Active NPI
Diane Gail Kirbis, NP-C
- Nurse Practitioner
- Arcadia, CA
National Provider Identifier
1790715712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP12911
- Practice address
- 450 E Huntington Dr
Arcadia, CA 91006-3748 - Phone
- (626) 254-2253
- Fax
- (626) 254-2270
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP12911 | CA | Primary |
Addresses
Primary practice location
450 E Huntington Dr
Arcadia, CA 91006-3748
Mailing address
4926 Arcola Ave
North Hollywood, CA 91601-4810
Phone (818) 762-8601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN342528 | Other | CA | NURSE LICENCE |
| NP12911 | Other | CA | NURSE PRACTIONER LICENSE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP12911 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1790715712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4926 ARCOLA AVE",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916014810",
"telephone_number": "818-762-8601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E HUNTINGTON DR",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063748",
"telephone_number": "626-254-2253",
"fax_number": "626-254-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBIS",
"first_name": "DIANE",
"middle_name": "GAIL",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP12911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE LICENCE",
"identifier": "RN342528",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTIONER LICENSE",
"identifier": "NP12911",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.