Active NPI
Dairian Monique Roberts, OTR/L, IBCLC
- Lactation Consultant (Non-RN)
- Carson, CA
National Provider Identifier
1790111086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- Practice address
- 637 E Albertoni St Ste 108
Carson, CA 90746-1543 - Phone
- (310) 845-5173
- NPI assigned
- Sep 19, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT13769 | CA | |
| Doula | 374J00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | Primary |
Addresses
Primary practice location
637 E Albertoni St Ste 108
Carson, CA 90746-1543
Mailing address
704 Colorado Cir
Carson, CA 90745-2871
Phone (310) 817-1191
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT13769 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humbled by Motherhood Inc. | Lactation Consultant, Non-RN | Current | Accepting new patients |
| Recovercare Therapy Group, Inc. | Past | Accepting new patients | |
| Recovercare Therapy Group, Inc. | Past | Accepting new patients |
Locations
637 E Albertoni St
Ste 108
Carson, CA 90746
Phone (310) 845-5173
Organizations & group practices 3
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.
-
- Occupational Therapist
- Carson, CA
- NPI 1093576894
Lactation Consultant, Non-RN
-
- Physical Therapist
- Buena Park, CA
- NPI 1508802471
-
- Physical Therapist
- Norwalk, CA
- NPI 1659301935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1790111086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 COLORADO CIR",
"city": "CARSON",
"state": "CA",
"postal_code": "907452871",
"telephone_number": "310-817-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 E ALBERTONI ST STE 108",
"city": "CARSON",
"state": "CA",
"postal_code": "907461543",
"telephone_number": "310-845-5173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "DAIRIAN",
"middle_name": "MONIQUE",
"name_prefix": "Mrs.",
"credential": "OTR/L, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT13769",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.