Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alisa Michelle Dieterich, RNMSNFNP

Individual provider Nurse Practitioner · NPI 1760647465

Alisa Michelle Dieterich, RNMSNFNP is a Nurse Practitioner in Martell, California. Qualified in 2008, 18 years ago. Practices with Regents of the Univ of Ca, a 1,578-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2008
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Practice location Address checks out

11333 Prospect Dr
Martell, CA 95654
Phone: (209) 268-0560
Fax: (209) 214-6946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP18158 (CA)

Record details

NPI number1760647465
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNMSNFNP
Sole proprietorYes
NPI enumeratedJuly 22, 2008
Last updated in NPPESFebruary 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Regents Of The Univ Of Ca — 1578 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Regents of the Univ of Ca

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1578 clinicians in the practice; 12 are shown here.