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DIANA MARIZA REVELES PA
NPI 1548455405
Physician Assistant in Chula Vista, CA

Active since September 12, 2007PECOS EnrolledAccepts Medicare Assignment
352 L ST, CHULA VISTA, CA 91911(619) 515-2325 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 22, 2017, Feb 9, 2017 (3 updates tracked since 2017).

About Diana Mariza Reveles Pa NPPES

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

DIANA MARIZA REVELES PA (NPI 1548455405) is an individual physician assistant in Chula Vista, California, licensed in California (PA19306) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1548455405
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDIANA MARIZA REVELESCredential: PA
Location Address352 L STChula Vista, CA 91911-1208
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (619) 906-4564
Phone(619) 515-2325
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 12, 2007
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1548455405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA19306
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
352 L ST, Chula Vista, CA 91911
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Other Names 1

Former Name (1)Diana Mariza Mcmahan Pa

Secondary Practice Location 1

Location 1823 Gateway Center WaySan Diego, CA 92102-4541 · Phone (619) 515-2300 · Fax (619) 906-4564

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Diana Mariza Reveles Pa 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 ID6103994405
PECOS Enrollment IDI20081013000572
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91911 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers33 claims53 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims15 services$1.05 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims312 services$2.63 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims3,900 services$0.56 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$26.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

FAMILY HEALTH CENTERS OF SAN DIEGO INC
Clinic/Center (Federally Qualified Health Center (FQHC))
352 L ST
CHULA VISTA, CA 91911
San Diego County (619) 515-2500
ANALICIA BALDONADO PA-C
Physician Assistant
352 L ST
CHULA VISTA, CA 91911
San Diego County (619) 515-2325

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 Diana Reveles's NPI number?

The NPI number for Diana Reveles is 1548455405. It was assigned to this individual provider in the NPPES registry on September 12, 2007. The provider is also known as Diana Mariza Mcmahan PA.

Where is Diana Reveles located?

Diana Reveles practices at 352 L St, Chula Vista, CA 91911. The listed phone number is (619) 515-2325.

What is Diana Reveles's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Diana Reveles enrolled in Medicare?

Yes. Diana Reveles 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.

When was this NPI record last updated?

The NPPES record for Diana Reveles was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.