Individual provider Active NPI

Diana Marcela Clark, M.S., SLP

  • Speech-Language Pathologist
  • Long Beach, CA
National Provider Identifier
1124044060
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19290 Issued in CA
Practice address
4300 Long Beach Blvd Ste 700
Long Beach, CA 90807-2000
Phone
(818) 894-2273
Fax
(818) 357-2505
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 144.0134728 VT
Speech-Language Pathologist 235Z00000X 19290 CA Primary
Speech-Language Pathologist 235Z00000X SA8620 FL

Addresses

Primary practice location

4300 Long Beach Blvd Ste 700
Long Beach, CA 90807-2000

Mailing address

6546 E Channel Dr
Hernando, FL 34442-3708
Phone (786) 246-5967

Other practice location 1

6420 Wilshire Blvd Ste 600
Los Angeles, CA 90048-5521
Phone (818) 894-2273

Other practice location 2

1900 W Alpha Ct
Lecanto, FL 34461-7507
Phone (800) 380-9135

Other practice location 3

8929 Aero Dr Ste E
San Diego, CA 92123-2231
Phone (858) 277-2277

Other practice location 4

5806 Pacific Blvd
Huntington Park, CA 90255-2618
Phone (818) 894-2273

Other practice location 5

599 S Barranca Ave Ste 555
Covina, CA 91723-2791
Phone (818) 894-2273

Other practice location 6

3356 W Ball Rd Ste 219
Anaheim, CA 92804-3728
Phone (818) 894-2273

Other practice location 7

6320 Canoga Ave Fl 15
Woodland Hills, CA 91367-2563
Phone (818) 894-2273

Other identifiers 1

IdentifierTypeStateIssuer
890986500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313003470 CA Practitioner - Qualified Speech Language Pathologist 8123468287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Care Physical Therapy, PCGroup PAC ID 5890972335, 174 clinicians

Practice addresses (Care Compare)

333 City Blvd W
FL 17
Orange, CA 92868-5905
Phone (877) 757-8353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
19290CAMDOccupational Therapist
SA8620FLMDSpeech-Language Pathologist
144.0134728VTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Physical Therapy, P.C. Speech-Language Pathologist CurrentSince Jan 28, 2026 Accepting new patients
The Hand & Upper Extremity Center Inc Past Accepting new patients

Locations

3356 W Ball Rd
Ste 219
Anaheim, CA 92804

599 S Barranca Ave
Ste 555
Covina, CA 91723
Phone 81889422731025

5806 Pacific Blvd
Huntington Park, CA 90255

4300 Long Beach Blvd
Ste 700
Long Beach, CA 90807

6420 Wilshire Blvd
Ste 600
Los Angeles, CA 90048
Phone 81889422731025

333 City Blvd W
Fl 17
Orange, CA 92868
Phone (714) 707-2805

8929 Aero Dr
Ste E
San Diego, CA 92123
Phone (858) 277-2277

6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone (818) 588-4003

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1124044060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6546 E CHANNEL DR",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344423708",
            "telephone_number": "786-246-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD STE 700",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072000",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6420 Wilshire Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485521",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 W Alpha Ct",
            "address_purpose": "LOCATION",
            "city": "Lecanto",
            "state": "FL",
            "postal_code": "344617507",
            "country_code": "US",
            "telephone_number": "800-380-9135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8929 Aero Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232231",
            "country_code": "US",
            "telephone_number": "858-277-2277",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5806 Pacific Blvd",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902552618",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "599 S Barranca Ave Ste 555",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917232791",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3356 W Ball Rd Ste 219",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043728",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6320 Canoga Ave Fl 15",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913672563",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DIANA",
        "middle_name": "MARCELA",
        "name_prefix": "Miss",
        "credential": "M.S., SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "144.0134728",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19290",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8620",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890986500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.