Individual provider Active NPI

Desiree Jean Dilorenzo, DC

  • Rehabilitation Chiropractor
  • Los Angeles, CA
National Provider Identifier
1730944133
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC36891 Issued in CA
Practice address
10474 Santa Monica Blvd Ste 304
Los Angeles, CA 90025-6931
Phone
(310) 470-2909
NPI assigned
Feb 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC36891 CA Primary

Addresses

Primary practice location

10474 Santa Monica Blvd Ste 304
Los Angeles, CA 90025-6931

Mailing address

1821 Pacific Coast Hwy Apt 24
Hermosa Beach, CA 90254-3132
Phone (818) 744-6449

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
DC36891CAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
La Sports & Spine, Inc. Rehabilitation CurrentSince Feb 18, 2024 Accepting new patients

Locations

10474 Santa Monica Blvd
Ste 304
Los Angeles, CA 90025
Phone (310) 470-2909

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": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1730944133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 PACIFIC COAST HWY APT 24",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543132",
            "telephone_number": "818-744-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10474 SANTA MONICA BLVD STE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256931",
            "telephone_number": "310-470-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILORENZO",
        "first_name": "DESIREE",
        "middle_name": "JEAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC36891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.