Diane Garcia Bernaldo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95027960 Issued in CA

Practice address

3400 Tully Rd
Modesto, CA 95350-0803

Phone

(209) 846-6440

NPI assigned

Jan 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Diane Figueroa Garcia Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: diane.bernaldo.1@29991.direct.athenahealth.com

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1992576599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17809 WHEAT FIELD ST",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953308999",
            "telephone_number": "209-751-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 TULLY RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500803",
            "telephone_number": "209-846-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNALDO",
        "first_name": "DIANE",
        "middle_name": "GARCIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "GARCIA",
            "middle_name": "FIGUEROA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bernard Michael Berlin, LCSW
• Roseann Bermudez Locano, NP
• Maritsa Bermudez
• Martina Bernal
• Melissa Bernal
• Conalu Liwag Bernardino, M.D
• Andrea Bernardo Mendez
• Alison Berrien, R.N.
• Stephen Brophy Berrien, M.D.
• Maria L. Berrones, MD

• Family Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.