Individual provider Active NPI

Amber Elizabeth Dinicola, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Rancho Santa Margarita, CA
National Provider Identifier
1093038846
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP18252 Issued in CA
Practice address
163 Encantado Cyn
Rancho Santa Margarita, CA 92688-2985
Phone
(949) 412-7152
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP18252 CA Primary

Addresses

Primary practice location

163 Encantado Cyn
Rancho Santa Margarita, CA 92688-2985

Mailing address

5050 Barranca Pkwy
Irvine, CA 92604-4652
Phone (949) 936-8564

Other practice location 1

30412 Esperanza
Rancho Santa Margarita, CA 92688-2144
Phone (949) 459-1658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP18252CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1093038846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 BARRANCA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044652",
            "telephone_number": "949-936-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ENCANTADO CYN",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882985",
            "telephone_number": "949-412-7152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30412 Esperanza",
            "address_purpose": "LOCATION",
            "city": "Rancho Santa Margarita",
            "state": "CA",
            "postal_code": "926882144",
            "country_code": "US",
            "telephone_number": "949-459-1658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINICOLA",
        "first_name": "AMBER",
        "middle_name": "ELIZABETH",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP18252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.