Individual provider Active NPI

Diane Toshiye Stauber, LVN

  • Licensed Vocational Nurse
  • Van Nuys, CA
National Provider Identifier
1205415551
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN225233 Issued in CA
Practice address
San Fernando Valley Community Mental Health Center
16360 Roscoe Blvd
Van Nuys, CA 91406
Phone
(818) 901-4830
Fax
(818) 901-8985
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X CA
Licensed Vocational Nurse 164X00000X VN225233 CA Primary

Addresses

Primary practice location

San Fernando Valley Community Mental Health Center
16360 Roscoe Blvd
Van Nuys, CA 91406

Mailing address

1985 Penngrove St
Simi Valley, CA 93065-2373
Phone (805) 558-8586

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

State licenses

LicenseStateTypeSpecialty
VN225233CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Katrina Sanchez Licensed Vocational Nurse CurrentSince Jul 17, 2022 Accepting new patients

Locations

16360 Roscoe Blvd
Van Nuys, CA 91406
Phone (818) 908-4999

Organizations & group practices 1

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1205415551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 PENNGROVE ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652373",
            "telephone_number": "805-558-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER",
            "address_2": "16360 ROSCOE BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91406",
            "telephone_number": "818-901-4830",
            "fax_number": "818-901-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUBER",
        "first_name": "DIANE",
        "middle_name": "TOSHIYE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN225233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.