Active NPI
Laura Dietrich-Wager
- Occupational Therapy Assistant
- San Diego, CA
National Provider Identifier
1336509991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 832
- Practice address
- 1201 34TH St
San Diego, CA 92102-2416 - Phone
- (619) 232-2946
- NPI assigned
- Feb 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 832 | CA | Primary |
Addresses
Primary practice location
1201 34TH St
San Diego, CA 92102-2416
Mailing address
4905 Chaucer Ave
San Diego, CA 92120-1106
Phone (619) 861-4085
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 |
|---|---|---|---|
| 832 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1336509991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4905 CHAUCER AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921201106",
"telephone_number": "619-861-4085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 34TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921022416",
"telephone_number": "619-232-2946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETRICH-WAGER",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-24",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.