Healthcare Provider Details

I. General information

NPI: 1780505438
Provider Name (Legal Business Name): DIANE JAMES CADC-I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

539 AIRPORT RD
HOOPA CA
95546-0539
US

IV. Provider business mailing address

PO BOX 67
HOOPA CA
95546-0067
US

V. Phone/Fax

Practice location:
  • Phone: 530-625-4261
  • Fax: 530-625-4261
Mailing address:
  • Phone: 530-625-4261
  • Fax: 530-618-5773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: