Active NPI
Diane Turini Mize, MFT
- Marriage & Family Therapist
- Simi Valley, CA
National Provider Identifier
1750433876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 38366
- Practice address
- 1633 Erringer Rd
Suite 207
Simi Valley, CA 93065-3557 - Phone
- (805) 578-2425
- Fax
- (805) 578-8769
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 38366 | CA | Primary |
Addresses
Primary practice location
1633 Erringer Rd
Suite 207
Simi Valley, CA 93065-3557
Mailing address
4309 Deepwell LN
Moorpark, CA 93021-2304
Phone (805) 529-9343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750433876 | Other | CA | ANTHEM BLUE CROSS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38366 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235692800000",
"number": "1750433876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 DEEPWELL LN",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930212304",
"telephone_number": "805-529-9343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 ERRINGER RD",
"address_2": "SUITE 207",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930653557",
"telephone_number": "805-578-2425",
"fax_number": "805-578-8769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZE",
"first_name": "DIANE",
"middle_name": "TURINI",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2009-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "38366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "1750433876",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.