Active NPI
Diana Powell Enzmann, M.A.
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1629381033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5591
- Practice address
- 5901 W Olympic Blvd
Suite#101
Los Angeles, CA 90036-4667 - Phone
- (323) 932-5086
- Fax
- (323) 932-5472
- NPI assigned
- Jul 15, 2010
- 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 Pathologist | 235Z00000X | 5591 | CA | Primary |
Addresses
Primary practice location
5901 W Olympic Blvd
Suite#101
Los Angeles, CA 90036-4667
Mailing address
14027 Aubrey Rd
Beverly Hills, CA 90210-1062
Phone (818) 728-0202
Other names 1
- Mrs. Diana Teresa Powell
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5591 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1629381033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14027 AUBREY RD",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902101062",
"telephone_number": "818-728-0202",
"fax_number": "818-728-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 W OLYMPIC BLVD",
"address_2": "SUITE#101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364667",
"telephone_number": "323-932-5086",
"fax_number": "323-932-5472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENZMANN",
"first_name": "DIANA",
"middle_name": "POWELL",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "5591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "POWELL",
"middle_name": "TERESA",
"prefix": "MRS.",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.