Individual provider Active NPI

Diana Deangelis Parnell, M.D.

  • Dermatology Physician
  • Greenbrae, CA
National Provider Identifier
1811926652
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G18571 Issued in CA
Practice address
1100 S Eliseo Dr
Suite 2
Greenbrae, CA 94904-2017
Phone
(415) 461-1036
Fax
(415) 461-1043
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X G185710 CA
Procedural Dermatology Physician 207NS0135X G18571 CA
Dermatology Physician 207N00000X G18571 CA Primary

Addresses

Primary practice location

1100 S Eliseo Dr
Suite 2
Greenbrae, CA 94904-2017

Mailing address

1100 S Eliseo Dr
Suite 2
Greenbrae, CA 94904-2017
Phone (415) 461-1036

Other practice location 1

1030 Sir Francis Drake Blvd Ste 110
Kentfield, CA 94904-1439
Phone (415) 461-1036

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
I20090223000441 CA Practitioner - Dermatology 8729049093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G18571CAMDDermatology Physician
G185710CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group Dermatology CurrentSince Oct 27, 2021 Accepting new patients
Parnell Medical Corporation Past Accepting new patients

Locations

1030 Sir Francis Drake Blvd
Ste 110
Kentfield, CA 94904
Phone (415) 461-1036

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

Organizations & group practices 2

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1811926652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S ELISEO DR",
            "address_2": "SUITE 2",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042017",
            "telephone_number": "415-461-1036",
            "fax_number": "415-461-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S ELISEO DR",
            "address_2": "SUITE 2",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042017",
            "telephone_number": "415-461-1036",
            "fax_number": "415-461-1043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Sir Francis Drake Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kentfield",
            "state": "CA",
            "postal_code": "949041439",
            "country_code": "US",
            "telephone_number": "415-461-1036",
            "fax_number": "415-461-1043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARNELL",
        "first_name": "DIANA",
        "middle_name": "DEANGELIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G185710",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G18571",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G18571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.