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

Diana Liz Fruzza

Individual provider Family Nurse Practitioner · NPI 1780331439

Diana Liz Fruzza is a Nurse Practitioner in San Clemente, California. Qualified in 2021, 5 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

638 Camino De Los Mares
San Clemente, CA 92673-2848
Phone: (949) 487-9791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4902 Irvine Center Dr Ste 105, Irvine, CA 92604-3334 — (949) 651-9671
  • 21781 Tobarra, Mission Viejo, CA 92692-4204 — (626) 374-2245

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95020841 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780331439
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2022
Last updated in NPPESDecember 22, 2023
Certification dateAugust 22, 2022
Mailing address638 Camino De Los Mares, San Clemente, CA 92673-2848

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in San Clemente