Pamela Deitz, LCSW/MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

M12160 Issued in CA

Practice address

30101 Town Center Dr
Ste. 109
Laguna Niguel, CA 92677-5006

Phone

(949) 488-2699

Fax

(949) 218-6461

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Back to Balance Physical Therapy and Wellness, PC

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1174911135
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669416269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30101 TOWN CENTER DR",
            "address_2": "STE. 109",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775006",
            "telephone_number": "949-488-2699",
            "fax_number": "949-218-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 TOWN CENTER DR",
            "address_2": "STE. 109",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775006",
            "telephone_number": "949-488-2699",
            "fax_number": "949-218-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITZ",
        "first_name": "PAMELA",
        "credential": "LCSW/MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW7317",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "M12160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11331408",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Junior De Mesa
• Deborah Weinstein Physical Therapy
• Abigail Declines, OTR/L
• Tori Degroote, CADCII
• Fozhan Dehghan, HIGH SCHOOL DIPLOMA
• Megan Ann Dejean
• Teresa Del Real Delfin, DPT
• Del'S Haven IV, Inc
• Kimberly Delamar Matties, MFT, PSY.D.
• Yasmin Delavar

• Marriage & Family Therapist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.