Shereen Mizany, OTR / L, MOT
Individual provider Active NPI Developmentally Disabled Services Day Training Agency · Lompoc, CA
NPI 1821170713 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1821170713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- 3567 O.T (CA)
- Practice address
- 330 S K St # B
Lompoc, CA 93436-7230 - Phone
- (805) 735-7291
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3567 THERAPY SERVICE | CA | MD | Specialist |
| 3567 O.T | CA | MD | Developmentally Disabled Services Day Training Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3567 THERAPY SERVICE | CA | |
| Developmentally Disabled Services Day Training Agency | 251C00000X | 3567 O.T | CA | Yes |
Addresses
Primary practice location
330 S K St # B
Lompoc, CA 93436-7230
Mailing address
PO Box 1293
Lompoc, CA 93438-1293
Phone (818) 212-8148
Other providers in Lompoc, CA
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- Damani Muata Mitchell
- James Edward Mitchell
- Jeremy Mitchell
- Haley Mogensen
- Daniel S Moghadam
- Karim Ibrahim Mohamed
- Kiele Teresa Mohre
- Joseph Louis Montano
All providers in Lompoc, CA · Developmentally Disabled Services Day Training Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.