Diana Kay Larson, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

17311 Issued in CA

Practice address

23110 Atlantic Cir
Suite a
Moreno Valley, CA 92553-5920

Phone

(951) 924-9931

Fax

(951) 243-8126

NPI assigned

Jul 14, 2008

Last updated

Jul 14, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Amer a Jandali MD Inc

  • Cardiovascular Disease Physician
  • Moreno Valley, CA
  • NPI 1790971570
  NPD (past)
• Medicus, a Medical Corporation

  dba Cathedral CIty Family Medical Clinic

  • Primary Care Clinic/Center
  • Cathedral City, CA
  • NPI 1881654994
  NPD (past)
• Rogelio Drenning-Manrriquez

  • General Practice Physician
  • Riverside, CA
  • NPI 1063999431
  NPD (past)
• West Coast Psychiatry MD P.C.

  • Psychiatry Physician
  • Aliso Viejo, CA
  • NPI 1477352581
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1982868576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23110 ATLANTIC CIR",
            "address_2": "SUITE A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535920",
            "telephone_number": "951-924-9931",
            "fax_number": "951-243-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23110 ATLANTIC CIR",
            "address_2": "SUITE A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535920",
            "telephone_number": "951-924-9931",
            "fax_number": "951-243-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DIANA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "17311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Ivan Lara
• Sarah Drew Lara, LCSW
• Kathlyn Tatiana Larco, PA-C
• Dajzia Largaespada
• Kali Larsen
• Kailyn Marie Lasalle, NONE
• Rey John Latap, MSN-FNP-C
• Eddie Latimer
• Jayson Latimer, LCSW
• Charlene Lavaki

• Physician Assistant in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.