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JANE ELLEN DIETZEL
NPI 1093303240
Nurse Practitioner - Acute Care in Rancho Cucamonga, CA

Active since January 04, 2021
12766 N OVERLOOK DR, RANCHO CUCAMONGA, CA 91739(909) 702-8704 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jane Ellen Dietzel NPPES

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

JANE ELLEN DIETZEL (NPI 1093303240) is an individual acute care provider in Rancho Cucamonga, California, licensed in California (301446) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1093303240
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJANE ELLEN DIETZEL
Location Address12766 N OVERLOOK DRRancho Cucamonga, CA 91739-2321
Mailing Address12766 N Overlook DrRancho Cucamonga, CA 91739-2321 · (909) 702-8704
Phone(909) 702-8704
Sole ProprietorYes
Enumeration DateJanuary 4, 2021
NPPES CertifiedJanuary 4, 2021
✔ NPI 1093303240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 301446
12766 N OVERLOOK DR, Rancho Cucamonga, CA 91739
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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 Jane Ellen Dietzel's NPI number?

The NPI number for Jane Ellen Dietzel is 1093303240. It was assigned to this individual provider in the NPPES registry on January 4, 2021.

Where is Jane Ellen Dietzel located?

Jane Ellen Dietzel practices at 12766 N Overlook Dr, Rancho Cucamonga, CA 91739. The listed phone number is (909) 702-8704.

What is Jane Ellen Dietzel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Jane Ellen Dietzel was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.