DIANNE BEDFORD NURSE PRACTITIONER A PROFESSIONAL NURSING CORPORATION
NPI 1063363273
Nurse Practitioner - Family in Los Angeles, CA

Active since February 04, 2026
640 S SAN VICENTE BLVD STE 584, LOS ANGELES, CA 90048(323) 373-3133 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2026, Feb 4, 2026 (2 updates tracked since 2026).

About Dianne Bedford Nurse Practitioner A Professional Nursing Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANNE BEDFORD NURSE PRACTITIONER A PROFESSIONAL NURSING CORPORATION (NPI 1063363273) is a healthcare organization registered as a family in Los Angeles, California and active in the NPI registry since February 2026. The organization lists Dianne Bedford, Owner, as its authorized official.

NPPES Registry Identity

NPI1063363273
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDIANNE BEDFORD NURSE PRACTITIONER A PROFESSIONAL NURSING CORPORATION
Location Address640 S SAN VICENTE BLVD STE 584Los Angeles, CA 90048-4661
Mailing Address640 S San Vicente Blvd Ste 584Los Angeles, CA 90048-4661 · (323) 373-3133
Organization SubpartNo
Authorized OfficialDianne BedfordOwner · (323) 373-3133
Enumeration DateFebruary 4, 2026
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1063363273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
640 S SAN VICENTE BLVD STE 584, Los Angeles, CA 90048

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dianne Bedford Nurse Practitioner A Professional Nursing Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dianne Bedford Nurse Practitioner A Professional Nursing Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1750425039
640 S SAN VICENTE BLVD STE 584
Los Angeles, CA 90048
(323) 373-3133
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dianne Bedford Nurse Practitioner A Professional Nursing Corporation's NPI number?

The NPI number for Dianne Bedford Nurse Practitioner A Professional Nursing Corporation is 1063363273. It was assigned to this organization in the NPPES registry on February 4, 2026.

Where is Dianne Bedford Nurse Practitioner A Professional Nursing Corporation located?

Dianne Bedford Nurse Practitioner A Professional Nursing Corporation is located at 640 S San Vicente Blvd Ste 584, Los Angeles, CA 90048. The listed phone number is (323) 373-3133.

What is Dianne Bedford Nurse Practitioner A Professional Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dianne Bedford Nurse Practitioner A Professional Nursing Corporation enrolled in Medicare?

Yes. Dianne Bedford Nurse Practitioner A Professional Nursing Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dianne Bedford Nurse Practitioner A Professional Nursing Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dianne Bedford Nurse Practitioner A Professional Nursing Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dianne Bedford Nurse Practitioner A Professional Nursing Corporation was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.