Active NPI
Diana Lynn Belisario
- Nurse Practitioner
- Escondido, CA
National Provider Identifier
1891452090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95019202
- Practice address
- 2334 Citron PL
Escondido, CA 92027-4200 - Phone
- (904) 501-0510
- NPI assigned
- Nov 22, 2021
- 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 | 95019202 | CA | Primary |
Addresses
Primary practice location
2334 Citron PL
Escondido, CA 92027-4200
Mailing address
2334 Citron PL
Escondido, CA 92027-4200
Phone (904) 501-0510
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1891452090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2334 CITRON PL",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920274200",
"telephone_number": "904-501-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2334 CITRON PL",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920274200",
"telephone_number": "904-501-0510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELISARIO",
"first_name": "DIANA",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-22",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95019202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.