Active NPI
Diana Nguyen Lau
- Speech-Language Assistant
- Granite Bay, CA
National Provider Identifier
1336771740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SPA929
- Practice address
- 5420 Douglas Blvd Ste F
Granite Bay, CA 95746-6253 - Phone
- (916) 287-1517
- NPI assigned
- Feb 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SPA929 | CA | Primary |
Addresses
Primary practice location
5420 Douglas Blvd Ste F
Granite Bay, CA 95746-6253
Mailing address
5420 Douglas Blvd Ste F
Granite Bay, CA 95746-6253
Phone (916) 284-1517
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Sacramento | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| SPA929 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Speech Therapy LLC | Current | Accepting new patients |
Locations
5420 Douglas Blvd
Ste F
Granite Bay, CA 95746
Phone (916) 287-1517
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.
-
- Hearing and Speech Clinic/Center
- Granite Bay, CA
- NPI 1134787302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1336771740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 DOUGLAS BLVD STE F",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957466253",
"telephone_number": "916-284-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 DOUGLAS BLVD STE F",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957466253",
"telephone_number": "916-287-1517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "DIANA",
"middle_name": "NGUYEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "SPA929",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Sacramento",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5420 Douglas Blvd Ste F",
"city": "Granite Bay",
"state": "CA",
"country_code": "US",
"postal_code": "957466253",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Granite Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.