Eugenia Maria Diaz Mogollon

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

5585 Issued in CA

Practice address

3498 Green Valley Rd
Rescue, CA 95672-9625

Phone

(530) 391-8670

NPI assigned

Sep 19, 2018

Last updated

Apr 17, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total Education Solutions

  dba TES Therapy

  • Early Intervention Provider Agency
  • Rancho Cordova, CA
  • NPI 1841586757

  Speech-Language Assistant

  NPD (past)

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1730663311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3498 GREEN VALLEY RD",
            "city": "RESCUE",
            "state": "CA",
            "postal_code": "956729625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3498 GREEN VALLEY RD",
            "city": "RESCUE",
            "state": "CA",
            "postal_code": "956729625",
            "telephone_number": "530-391-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ MOGOLLON",
        "first_name": "EUGENIA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "5585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING AID DISPENSERS BOARD",
            "identifier": "5585",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn C Chu, OTR/L
• Fredrick Clarin, INTERN
• Madelyn Rose Couture
• Brandi Cowan, OTA
• Marjorie Daley
• Makenna Downing
• Mackenzie Eells, OTR/L
• Jennifer Elson, SLPA
• Peggy A Enabnit, OTR/L
• Muna Farhat, LMFT

• Speech-Language Assistant in Rescue, CA
• Providers in Rescue, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.