Individual provider Active NPI

Dustin Mann Diel

  • Speech-Language Pathologist
  • El Dorado Hills, CA
National Provider Identifier
1700582335
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
32759 Issued in CA
Practice address
1681 Lovers LN
El Dorado Hills, CA 95762-9751
Phone
(916) 250-1482
NPI assigned
Feb 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 32759 CA Primary

Addresses

Primary practice location

1681 Lovers LN
El Dorado Hills, CA 95762-9751

Mailing address

1681 Lovers LN
El Dorado Hills, CA 95762-9751

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

LicenseStateTypeSpecialty
32759CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Speech Therapy Corporation CurrentSince Mar 12, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1700582335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 LOVERS LN",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 LOVERS LN",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629751",
            "telephone_number": "916-250-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEL",
        "first_name": "DUSTIN",
        "middle_name": "MANN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "32759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.