Diana Derosa Villarreal
Pediatrics | Female
Diana Derosa Villarreal is a Loma Linda, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Diana Derosa Villarreal is
11175 Campus St, Department Of Pediatrics, Loma Linda, California - 92350-1700. She can be contacted on phone at
909-558-8142 and fax number 909-558-5981.
Diana Derosa Villarreal is a sole proprietor of her business.
NPI number (Unique professional ID) for Diana Derosa Villarreal is
1235525403 which was assigned by NPPES on 14 Apr, 2015 and it was last updated on 29 Nov, 2021.
Diana Derosa Villarreal license number is
A161918 for Pediatrics (208000000X) in California.
Diana Derosa Villarreal is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Diana Derosa Villarreal basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Diana Derosa Villarreal |
|---|
| Gender : | Female |
|---|
Business Address:
Diana Derosa Villarreal address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11175 Campus St, Department Of Pediatrics
Loma Linda, CA, 92350-1700
United States |
|---|
| Phone Number : | 909-558-8142 |
|---|
| Fax Number : | 909-558-5981 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235525403 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 14 Apr, 2015 |
|---|
| Last Updated On : | 29 Nov, 2021 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Diana Derosa Villarreal are as mentioned. Primary taxonomy code for Diana Derosa Villarreal is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A161918 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Diana Derosa Villarreal such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 9000169885 | MEDICAID | CO | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 10800 MAGNOLIA AVE,
RIVERSIDE, CA, 92505-3043
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 11175 Campus St, Department Of Pediatrics
Loma Linda, CA, 92350-1700
United States |
|---|
| Phone Number : | 909-558-8142 |
|---|
| Fax Number : | 909-558-5981 |
|---|
Business Location:
Patients can refer following map for directions to
Diana Derosa Villarreal practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.