Active NPI
Diane Toshiye Stauber, LVN
- Licensed Vocational Nurse
- Van Nuys, CA
National Provider Identifier
1205415551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN225233
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| VN225233 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katrina Sanchez | Licensed Vocational Nurse | Current | 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.
-
- Licensed Vocational Nurse
- Van Nuys, CA
- NPI 1073247870
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.