DIANE DAHLSTROM BRICCO (MD) – Vascular & Interventional Radiology Physician, NPI 1306994231

DIANE DAHLSTROM BRICCO (MD) is a healthcare provider. based in San diego, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. A91857 (CA). The NPI Number for DIANE DAHLSTROM BRICCO (MD) is 1306994231

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DIANE DAHLSTROM BRICCO (MD)
NPI
1306994231
Phone
(619) 528-5000
Address
4647 ZION AVE
Enumeration Date
8 January 2007
Last Update Date
23 September 2008

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
2107042011
Graduation Year
1999 (27 years ago)
PAC ID
0345268678
Group Practice PAC ID
0244415081
Professional Enrollment ID
I20180530002876
Address ID
TX782073108SA333XXSTXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,793 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for DIANE DAHLSTROM BRICCO (MD)

  • Kaiser Permanente Zion Medical Center, 4647, Zion Avenue, Grantville, Allied Gardens, San Diego, San Diego County, California, 92120, United States

    SAN DIEGO, CA 921202507

    Phone: (619) 528-5000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $288.

Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Boston Scientific Corporation ($149).

Total Amount

$288

General + Research + Ownership

Payments

5

Total payment records

General Amount

$288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-05-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171110002618IDiagnostic RadiologyCATBD
I20180530002876IDiagnostic RadiologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml3,95038$0
71045X-ray of chest, 1 view1,2541,009$0
70450Ct scan head or brain without contrast432408$0
74177Ct scan of abdomen and pelvis with contrast229225$0
71046X-ray of chest, 2 views205201$0
View full utilization report →

Insurance plans in this area (ZIP 92120)

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Provider's Procedures

DIANE DAHLSTROM BRICCO (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA36556Insertion of central venous catheter for infusion, patient 5 years or older4639

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244415081View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyMI
Diagnostic RadiologyMD
-TX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Physician AssistantTX
-TX
Diagnostic RadiologyOK
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

Does DIANE DAHLSTROM BRICCO (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DIANE DAHLSTROM BRICCO (MD) uses 1306994231.
Is DIANE DAHLSTROM BRICCO (MD) listed as active for patients and plans?
The listing shows DIANE DAHLSTROM BRICCO (MD) as active in the NPI system.
What taxonomy line describes DIANE DAHLSTROM BRICCO (MD)?
For research purposes, treat DIANE DAHLSTROM BRICCO (MD) as Vascular & Interventional Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DIANE DAHLSTROM BRICCO (MD)?
DIANE DAHLSTROM BRICCO (MD)'s geographic hint is San Diego, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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