Individual provider Active NPI

Diana E Melendez, OTR/L

  • Occupational Therapist
  • Palm Desert, CA
National Provider Identifier
1003183096
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9606 Issued in CA
Practice address
77564 Country Club Dr
Suite Number 368B
Palm Desert, CA 92211
Phone
(760) 772-2838
NPI assigned
Nov 19, 2011
Last updated
Nov 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9606 CA Primary

Addresses

Primary practice location

77564 Country Club Dr
Suite Number 368B
Palm Desert, CA 92211

Mailing address

78665 Alden Circle
La Quinta, CA 92253
Phone (760) 219-2519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170725000159 CA Practitioner - Occupational Therapist in Private Practice 9739459710 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9606CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
On the Move Rehab Occupational Therapist CurrentSince Feb 1, 2020 Accepting new patients
Rosi Physiotherapy Inc. CurrentSince Mar 1, 2020 Accepting new patients
Easy Speech Therapy Center PastSince Jun 13, 2017 Accepting new patients
Desert Occupational Therapy for Kids Inc. Past Accepting new patients

Locations

71843 Highway 111
Ste C
Rancho Mirage, CA 92270
Phone (760) 636-4365

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1003183096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78665 ALDEN CIRCLE",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "92253",
            "telephone_number": "760-219-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR",
            "address_2": "SUITE NUMBER 368B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92211",
            "telephone_number": "760-772-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "DIANA",
        "middle_name": "E",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.