Active NPI
Christine Delisser, SLP
- Speech-Language Pathologist
- Encino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16936
- Practice address
- 16500 Ventura Blvd Ste 414
Encino, CA 91436-5050 - Phone
- (818) 788-1003
- NPI assigned
- Jan 2, 2023
- Last updated
- Aug 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 16936 | CA | Primary |
Addresses
Primary practice location
16500 Ventura Blvd Ste 414
Encino, CA 91436-5050
Mailing address
16500 Ventura Blvd Ste 414
Encino, CA 91436-5050
Phone (818) 788-1003
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sandford.html | Therapy Lounge Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16936 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interface Rehab, Inc. | Current | Accepting new patients | |
| Mindful Speech Path | Current | Accepting new patients | |
| New Life Physical Therapy Services, PC | Speech-Language Pathologist | Current | Accepting new patients |
| Interface Rehab, Inc. | Current | Accepting new patients | |
| Trellis Physical Therapy a Professional Rehab Group Inc. | Past | Accepting new patients |
Locations
2400 W Acacia Ave
Hemet, CA 92545
Phone (951) 492-2841
774 S Placentia Ave
Ste 200
Placentia, CA 92870
Phone (714) 646-8300
245 W Sierra Madre Blvd
Sierra Madre, CA 91024
Phone (626) 325-3780
Organizations & group practices 5
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.
-
- Physical Disabilities Residential Treatment Facility
- Placentia, CA
- NPI 1306960851
-
- Physical Therapist
- Beverly Hills, CA
- NPI 1285160788
Speech-Language Pathologist
-
- Home Health Agency
- Van Nuys, CA
- NPI 1124852140
-
- Assisted Living Facility
- Healdsburg, CA
- NPI 1053178244
-
- Physical Therapist
- Los Angeles, CA
- NPI 1730245838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1730892050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16500 VENTURA BLVD STE 414",
"city": "ENCINO",
"state": "CA",
"postal_code": "914365050",
"telephone_number": "818-788-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16500 VENTURA BLVD STE 414",
"city": "ENCINO",
"state": "CA",
"postal_code": "914365050",
"telephone_number": "818-788-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELISSER",
"first_name": "CHRISTINE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-02",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "16936",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sandford.html",
"affiliation": "Y",
"affiliationName": "Therapy Lounge Center",
"address_1": "6228 Fulton Ave Apt 204",
"city": "Van Nuys",
"state": "CA",
"country_code": "US",
"postal_code": "914012553",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.