Stephanie Nancy Diaz

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15019 Issued in CA

Practice address

11360 183Rd St
Cerritos, CA 90703-5419

Phone

(714) 639-4990

NPI assigned

Jun 21, 2021

Last updated

Feb 17, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids in Motion Pediatric Therapy

  • Pediatric Occupational Therapist
  • Torrance, CA
  • NPI 1922471358
  NPD (past)
• Kids in Motion Physical Therapy, Inc

  dba Kids in Motion Pediatric Therapy

  • Pediatric Physical Therapist
  • Torrance, CA
  • NPI 1033356597

  Speech-Language Pathologist

  NPD (past)
• Pediatric Subspecialty Faculty, Inc.

  • Pediatrics Physician
  • Orange, CA
  • NPI 1790850279
  NPD (past)
• Essent PRMC LP

  dba Paris Regional Medical Center

  • Certified Registered Nurse Anesthetist
  • Paris, TX
  • NPI 1376541839
  NPD (past)

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1770152100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 248TH ST",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102009",
            "telephone_number": "310-892-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11360 183RD ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035419",
            "telephone_number": "714-639-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "STEPHANIE",
        "middle_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2023-02-17",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Louise Desandre, PSY.D.
• Yashna Dhingra
• Ana Maria Ysabel Di Sarli, MSW, ASW
• Beatris Diaz
• Kelly Diaz
• Kyrah Dickens
• Tien Dieu
• Davina Dillard
• Adriana Dillon, B.A.
• Dilpreet Pami Julka a Medical Corporation

• Speech-Language Pathologist in Cerritos, CA
• Providers in Cerritos, 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 Feb 17, 2023; 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.