DIANE MARIE MAZZONI (NPI# 1003474818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003474818 |
| Entity Type | Individual |
| Full Name | DIANE MARIE MAZZONI |
| Credential | MS, PPS |
| Practice Address |
37479 Avenue 12 Madera CA 93636-8726 |
| Mailing Address |
17549 Road 36 1/2 Madera CA 93636-9207 |
| Practice Telephone | 5596453572 |
| Mailing Telephone | 5593632583 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
2326 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 91-2129526 | 01 |
| Street Address |
37479 AVENUE 12 |
| City | MADERA |
| State | CA |
| Zip Code | 93636-8726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285821298 | Golden Valley Usd | Local Education Agency (LEA) | 37479 Avenue 12, Madera, CA 93636-8726 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695257 | Kati Pitts | Social Worker | 9300 Valley Children's Pl., Madera, CA 93636 | 2015-07-29 |
| 1386903177 | Christina Lee-ann Badgett | Registered Nurse | 40617 Rd 406, Madera, CA 93636 | 2012-05-14 |
| 1205134897 | Gina West | Counselor | 10120 Lanes Bridge Dr, Madera, CA 93636 | 2011-03-04 |
| 1326342593 | Re Zaw | Pediatrics | 9300 Valley Children's Place, Residency Dept (ge20), Madera, CA 93636 | 2011-01-03 |
| 1013144179 | Cynthia Romer Fata | Pathology | 9300 Valley Childrens Pl # Sc12, Madera, CA 93636 | 2009-06-16 |
| 1689815888 | Nasser Moiduddin | Pediatrics | 9300 Valley Childrens Pl # PC14, Madera, CA 93636 | 2009-03-18 |
| 1174503338 | James Clifton Horspool | Pediatrics | 9300 Valley Children's Place, Mb01, Madera, CA 93636 | 2006-01-21 |
| 1205818465 | James Weston Hole | Obstetrics & Gynecology | 9300 Valley Children's Pl, Fe16, Madera, CA 93636 | 2005-11-15 |
| 1740838994 | Francisco Alvarez | Nurse Practitioner | 9300 Valley Childrens Pl, Madera, CA 93636 | 2019-08-30 |
| 1679056493 | Catherine K. Beaumier | Surgery | 9300 Valley Children's Pl., Madera, CA 93636 | 2018-09-07 |
| Find all providers in zip 93636 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800610 | Christine Irene Wyeth I | Psychologist | 420 Orrell Dr, National City, CA 91950-7019 | 2020-10-30 |
| 1396351755 | Darinisha Williams | Psychologist | 228 W Pomona Ave Unit 453, Monrovia, CA 91016-4853 | 2020-09-21 |
| 1861006280 | Waneka Cabrera | Psychologist | 6140 Monterey Rd Apt 419, Los Angeles, CA 90042-5410 | 2020-09-02 |
| 1447862669 | Lynn Syrvart Saroyan | Psychologist | 302 W 5th St Ste 301, San Pedro, CA 90731-2750 | 2020-08-19 |
| 1386256741 | Earaj Afzal | Psychologist | 4175 Williwaw Dr, Irvine, CA 92620-3279 | 2020-08-18 |
| 1518578145 | Christina Marie Keefe | Psychologist | 222 Terrace Dr, Big Pine, CA 93513-2002 | 2020-08-17 |
| 1992317572 | Ferris Kevin Bruton | Psychologist | 850 Rosewood Ave, Vallejo, CA 94591-5647 | 2020-08-17 |
| 1376153460 | Louis Scott Addleson | Psychologist | 7915 Alida St, La Mesa, CA 91942-2541 | 2020-08-04 |
| 1326658592 | Aamna Hassan | Psychologist | 15132 Amso St, Poway, CA 92064-2604 | 2020-08-03 |
| 1922616218 | Janis Kingsley | Psychologist | 2746 Granville Ave, Los Angeles, CA 90064-3604 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.