Diana Beatrice Su-Erickson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1982 Issued in CA

Practice address

11201 Benton St
Dept of Occupational Therapy 117B
Loma Linda, CA 92357-1000

Phone

(909) 825-7084

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104833250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923540897",
            "telephone_number": "909-796-2002",
            "fax_number": "909-799-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 BENTON ST",
            "address_2": "DEPT OF OCCUPATIONAL THERAPY 117B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923571000",
            "telephone_number": "909-825-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU-ERICKSON",
        "first_name": "DIANA",
        "middle_name": "BEATRICE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "1982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Rachel Studer, M.D.
• Charles Bernard Stuller, DDS
• Robert Patrick Stump
• Kathleen N Stutz, DO
• Reece Alan Stutzman
• Prajan Subedi
• Jennelle Suchecki
• Alfreda Sulistiowati
• Whitney Alison Sullivan-Lewis, M.D.
• Rosemary Sullivan, MA, OTR/L

• Occupational Therapist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.