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DIANNE E. BOHORQUEZ PH.D.
NPI 1467617142
Psychologist - Clinical in San Pedro, CA

Active since July 22, 2008PECOS EnrolledAccepts Medicare Assignment
593 W 6TH ST, SAN PEDRO, CA 90731(310) 547-0202(310) 547-5096 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dianne E. Bohorquez Ph.d. NPPES

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

DIANNE E. BOHORQUEZ PH.D. (NPI 1467617142) is an individual clinical provider in San Pedro, California, licensed in California (PSY21307) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1467617142
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDIANNE E. BOHORQUEZCredential: PH.D.
Location Address593 W 6TH STSan Pedro, CA 90731-2521
Mailing Address593 W 6th StSan Pedro, CA 90731-2521 · (310) 547-0202 · Fax (310) 547-5096
Phone(310) 547-0202
Fax(310) 547-5096
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 22, 2008
Last NPPES UpdateDecember 5, 2013
✔ NPI 1467617142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY21307
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
593 W 6TH ST, San Pedro, CA 90731
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dianne E. Bohorquez Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274699509
PECOS Enrollment IDI20090311000323
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dianne Bohorquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harbor Community Clinic Inc.
Same address
Federally Qualified Health Center (FQHC)
593 W 6TH ST
San Pedro, CA 90731
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1467490425 (310) 547-0202

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN BAPTIST RUSSO M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
KARLA BERENICE GUZMAN ALBA ASW132718
Social Worker (Clinical)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
CRISTHIAM AL SANTOS PA-C
Physician Assistant
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
REESE PRESCOTT ISAACSON
Internal Medicine
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
MAYRA PEREZ GONZALEZ
Social Worker (Clinical)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
EVELYN MARCIA DESSER RN, MN, FNP-BC
Nurse Practitioner (Family)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
OLUWAFEMISAYO A AKINNAGBE MD
Family Medicine
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
CALEB MATTHEW LUSK MD
Family Medicine (Addiction Medicine)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202

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 Bohorquez's NPI number?

The NPI number for Dianne Bohorquez is 1467617142. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Dianne Bohorquez located?

Dianne Bohorquez practices at 593 W 6th St, San Pedro, CA 90731. The listed phone number is (310) 547-0202.

What is Dianne Bohorquez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dianne Bohorquez enrolled in Medicare?

Yes. Dianne Bohorquez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dianne Bohorquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dianne Bohorquez reassigns Medicare benefits to Harbor Community Clinic Inc. (San Pedro, CA). The 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 Dianne Bohorquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dianne Bohorquez was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.