Individual provider Active NPI

Diana Lea Sabesky, PT

  • Contractor
  • El Cajon, CA
National Provider Identifier
1326412016
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
PT12573 Issued in CA
Practice address
353 E Park Ave
#104
El Cajon, CA 92020-3988
Phone
(619) 334-4294
NPI assigned
Nov 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X PT12573 CA Primary

Addresses

Primary practice location

353 E Park Ave
#104
El Cajon, CA 92020-3988

Mailing address

8599 Sky Rim Dr
Lakeside, CA 92040-5513
Phone (619) 459-0657

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT12573CAMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1326412016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8599 SKY RIM DR",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920405513",
            "telephone_number": "619-459-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E PARK AVE",
            "address_2": "#104",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203988",
            "telephone_number": "619-334-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABESKY",
        "first_name": "DIANA",
        "middle_name": "LEA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "PT12573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.