Provider Demographics
NPI:1326171638
Name:ORAN, DIANE (NP)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:
Last Name:ORAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:DIANE
Other - Middle Name:ORAN
Other - Last Name:MANDARICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP, RN, CS
Mailing Address - Street 1:650 HOWE AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-4731
Mailing Address - Country:US
Mailing Address - Phone:916-993-4886
Mailing Address - Fax:916-993-4131
Practice Address - Street 1:650 HOWE AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-4731
Practice Address - Country:US
Practice Address - Phone:916-993-4886
Practice Address - Fax:916-993-4131
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA352302163W00000X
CA2705163WP0807X
CA424163WP0808X
CA21782363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEOR NS8013Medicare UPIN