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DIANE T ROQUE
NPI 1649773920
Nurse Practitioner - Family in Glendale, CA

Active since March 13, 2018PECOS Enrolled
710 S CENTRAL AVE STE 330, GLENDALE, CA 91204(818) 263-5737(818) 263-5737 Get Directions Write a Review

NPPES record last updated: March 13, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Diane T Roque NPPES

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

DIANE T ROQUE (NPI 1649773920) is an individual family provider in Glendale, California, licensed in California (95008440) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649773920
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANE T ROQUE
Location Address710 S CENTRAL AVE STE 330Glendale, CA 91204-4647
Mailing Address119 N Ardmore AveLos Angeles, CA 90004-4501 · (818) 263-5737
Phone(818) 263-5737
Fax(818) 263-5737
Sole ProprietorYes
Enumeration DateMarch 13, 2018
✔ NPI 1649773920 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 · 95008440
710 S CENTRAL AVE STE 330, Glendale, CA 91204
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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 (PECOS)

Diane T Roque is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Diane Roque reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kidney And Hypertension Consultants
17 mi
Nephrology
18546 ROSCOE BLVD STE 110
Northridge, CA 91324
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1487993176 (818) 993-5600

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 91204 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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 5

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

MS. ROSALINDA VALMEO PROTACIO NP
Nurse Practitioner (Family)
710 S CENTRAL AVE STE 330
GLENDALE, CA 91204
Los Angeles County (818) 395-7311
MADELAINE ANTONIA GAMEZ FNP-BC, NP-C
Nurse Practitioner (Family)
710 S CENTRAL AVE STE 330
GLENDALE, CA 91204
Los Angeles County (818) 500-8739
DR. RODOLFO BAGUINGUITO PROTACIO M.D.
Internal Medicine
710 S CENTRAL AVE STE 330
GLENDALE, CA 91204
Los Angeles County (818) 500-8739
LARA TRINIDAD MANESE NP
Nurse Practitioner (Family)
710 S CENTRAL AVE STE 330
GLENDALE, CA 91204
Los Angeles County (818) 500-8739
DIANNE K PALASIO NP
Nurse Practitioner (Family)
710 S CENTRAL AVE STE 330
GLENDALE, CA 91204
Los Angeles County (818) 500-8739

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 Diane Roque's NPI number?

The NPI number for Diane Roque is 1649773920. It was assigned to this individual provider in the NPPES registry on March 13, 2018.

Where is Diane Roque located?

Diane Roque practices at 710 S Central Ave Ste 330, Glendale, CA 91204. The listed phone number is (818) 263-5737.

What is Diane Roque's specialty?

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

Is Diane Roque enrolled in Medicare?

Yes. Diane Roque is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diane Roque's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Roque reassigns Medicare benefits to Kidney And Hypertension Consultants (Northridge, 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 Diane Roque'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 Diane Roque was last updated on March 13, 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.