Diana Ridoloso, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

25271 Issued in CA

Practice address

11990 Stoney Peak Dr
San Diego, CA 92128-5402

Phone

(619) 800-2517

NPI assigned

May 22, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Little Rose Speech Therapy, Inc.

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1922605898
  NPD Authorized official

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1710478052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 STONEY PEAK DR APT 1106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921286481",
            "telephone_number": "209-406-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 STONEY PEAK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921285402",
            "telephone_number": "619-800-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDOLOSO",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "25271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Anne Ridgway, PA-C
• Robert Hale Riding Jr., DDS
• Virginie Eva Riding
• Crystal Ridlen
• Zoe Ridlon
• Nathalia Riedel-Flores
• Quinn Riedel
• Marc Andrew Riedl, MD
• Lani Riedler
• Mark J Riedler, D.D.S.

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, 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 16, 2020; 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.