Diana Manuel Spears, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

CC6741 Issued in CA

Practice address

1031 Avenida Pico Ste 201
San Clemente, CA 92673-6356

Phone

(949) 388-8788

NPI assigned

Sep 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Diana Manuel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wee Thrive Pediatric Therapy Group

  • Multi-Specialty Clinic/Center
  • San Clemente, CA
  • NPI 1558815456
  NPD (past)

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1619698941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27901 CAMINO SANTO DOMINGO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753323",
            "telephone_number": "310-213-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 AVENIDA PICO STE 201",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736356",
            "telephone_number": "949-388-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL SPEARS",
        "first_name": "DIANA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "CC6741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "MANUEL",
            "credential": "CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joel Mallams
• Ashley Mancino, SLPA
• Andrea Rebecca Manghiuc
• Katie B Mann, LCSW
• Heydi Katerina Manrique-Aparicio, N.P.
• Jon Paul Marchese, P.T.
• Shaun Mardani, CRNA
• Jamie Marinos, F.N.P
• Erin Mark, INHC & WHCS
• Sylvia Mary Marnella, PH.D.

• Speech-Language Pathologist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.