Individual provider Active NPI

Diane Christine Hermiz, DO

  • Internal Medicine Physician
  • Downey, CA
National Provider Identifier
1962063925
Registry record updated Nov 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A19751 Issued in CA
Practice address
10441 Lakewood Blvd Ste Ab
Downey, CA 90241-2744
Phone
(562) 869-1070
Fax
(562) 286-8777
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A19751 CA Primary

Addresses

Primary practice location

10441 Lakewood Blvd Ste Ab
Downey, CA 90241-2744

Mailing address

PO Box 1088
Artesia, CA 90702-1088
Phone (562) 869-1070

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
I20221121002578 CA Practitioner - Internal Medicine 8921339771 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A19751CAMDInternal Medicine Physician
19751CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 12, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Sep 12, 2022 Accepting new patients
Applecare Hospitalist Medical Group, Inc. Internal Medicine PastSince Nov 20, 2022 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

10441 Lakewood Blvd
Ste Ab
Downey, CA 90241
Phone (562) 869-1070

11525 Brookshire Ave
Ste 300
Downey, CA 90241
Phone (562) 869-1070

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668816000000",
    "number": "1962063925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1088",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907021088",
            "telephone_number": "562-869-1070",
            "fax_number": "562-286-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 LAKEWOOD BLVD STE AB",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412744",
            "telephone_number": "562-869-1070",
            "fax_number": "562-286-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMIZ",
        "first_name": "DIANE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A19751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.