Healthcare Provider Details

I. General information

NPI: 1376119933
Provider Name (Legal Business Name): DIANNE LISA DURANO GERAGA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2603 PATTERSON RD STE 3
RIVERBANK CA
95367-3407
US

IV. Provider business mailing address

2603 PATTERSON RD STE 3
RIVERBANK CA
95367-3407
US

V. Phone/Fax

Practice location:
  • Phone: 209-869-8102
  • Fax: 844-689-7045
Mailing address:
  • Phone: 209-862-8102
  • Fax: 844-689-7045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95016851
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: