DIANE LYNN GLEESON (NPI# 1417129131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417129131 |
| Entity Type | Individual |
| Full Name | DIANE LYNN GLEESON |
| Credential | NP |
| Practice Address |
101 E Valencia Mesa Dr Fullerton CA 92835-3809 |
| Practice Telephone | 7149923000 |
| Mailing Telephone | 7149923000 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
319718 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 E VALENCIA MESA DR |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989591 | Pei-jing Ma | Physician Assistant | 101 E Valencia Mesa Dr, Em Dept, Fullerton, CA 92835-3809 | 2005-11-18 |
| 1508493461 | Key Medical Rehab Inc. | Physical Medicine & Rehabilitation | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2020-03-23 |
| 1902439938 | Collin Michael Fuhrman | Physician Assistant | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2020-02-18 |
| 1427697762 | Ashley Jungkman | Dietitian, Registered | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2020-01-03 |
| 1720632136 | Ken Yu Ki Chan | Nurse Practitioner | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-07-25 |
| 1548812332 | Don R Miller | Pharmacist | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-07-11 |
| 1700445640 | Hanna Ro | Physician Assistant | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-06-12 |
| 1023674298 | Gwendolyn Nguyen | Physician Assistant | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-05-14 |
| 1073072963 | Daniel Benjamin Graviloni | Respiratory Therapist, Registered | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-03-19 |
| 1639655947 | Noli Veneracion | Physical Therapist | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2018-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013311471 | Saba Tesfay | Nurse Practitioner | 2255 El Rancho Vis, Fullerton, CA 92833-1725 | 2014-10-14 |
| 1568763043 | Lisa Margaret Hanna | Nurse Practitioner | 251 Imperial Hwy, Suite 460, Fullerton, CA 92835-1057 | 2010-11-15 |
| 1255792875 | Tammy Chen | Nurse Practitioner | 150 Laguna Rd Ste A, Fullerton, CA 92835-3614 | 2016-03-09 |
| 1346306784 | Alicia M Lever | Nurse Practitioner | 279 Imperial Hwy, 770, Fullerton, CA 92835-1041 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
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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.