DIANNE CAMILLE CEA MALLARI-REQUILLO NP
NPI 1306793047
Nurse Practitioner - Family in Roseville, CA

Q: What is Dianne Camille Mallari-requillo's NPI number?

The NPI number for Dianne Camille Mallari-requillo is 1306793047. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Q: What is Dianne Camille Mallari-requillo's specialty?

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

Active since March 12, 2026

6105 WADDINGTON WAY, ROSEVILLE, CA 95747(510) 512-8275 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dianne Camille Cea Mallari-requillo Np NPPES

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

DIANNE CAMILLE CEA MALLARI-REQUILLO NP (NPI 1306793047) is an individual family provider in Roseville, California, licensed in California (95038941) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1306793047

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDIANNE CAMILLE CEA MALLARI-REQUILLOCredential: NP

Location Address6105 WADDINGTON WAYRoseville, CA 95747-4550

Mailing Address6105 Waddington WayRoseville, CA 95747-4550 · (510) 512-8275

Phone(510) 512-8275

Sole ProprietorYes

Enumeration DateMarch 12, 2026

NPPES CertifiedMarch 12, 2026

✔ NPI 1306793047 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

License✔ Licensed in CA · 95038941

6105 WADDINGTON WAY, Roseville, CA 95747

Open in Google Maps ↗

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 Camille Mallari-requillo's NPI number?

The NPI number for Dianne Camille Mallari-requillo is 1306793047. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Where is Dianne Camille Mallari-requillo located?

Dianne Camille Mallari-requillo practices at 6105 Waddington Way, Roseville, CA 95747. The listed phone number is (510) 512-8275.

What is Dianne Camille Mallari-requillo's specialty?

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

When was this NPI record last updated?

The NPPES record for Dianne Camille Mallari-requillo was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.