Active NPI
Lori Maria Delos Santos, PSY.D.
- Clinical Psychologist
- Torrance, CA
National Provider Identifier
1679693071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY18106
- Practice address
- 19700 S Vermont Ave
Suite 250
Torrance, CA 90502-1100 - Phone
- (310) 783-4677
- NPI assigned
- Mar 30, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY18106 | CA | Primary |
Addresses
Primary practice location
19700 S Vermont Ave
Suite 250
Torrance, CA 90502-1100
Mailing address
3830 Legion Lane
Los Angeles, CA 90039
Phone (213) 321-9661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY18106 | Other | CA | PSYCHOLOGIST |
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 |
|---|---|---|---|
| PSY18106 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1679693071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 LEGION LANE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90039",
"telephone_number": "213-321-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19700 S VERMONT AVE",
"address_2": "SUITE 250",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905021100",
"telephone_number": "310-783-4677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELOS SANTOS",
"first_name": "LORI",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY18106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST",
"identifier": "PSY18106",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.