Healthcare Provider Details

I. General information

NPI: 1457208712
Provider Name (Legal Business Name): DIANA LYNN DEL ROSARIO OCLARIT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DIANA LYNN LAPID DEL ROSARIO

II. Dates (important events)

Enumeration Date: 03/14/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 N JACKSON AVE # 3MED
SAN JOSE CA
95116-1603
US

IV. Provider business mailing address

225 N JACKSON AVE # 3MED
SAN JOSE CA
95116-1603
US

V. Phone/Fax

Practice location:
  • Phone: 408-729-2843
  • Fax:
Mailing address:
  • Phone: 408-729-2843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95038838
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95287347
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: