Active NPI
Shereen Mizany, OTR / L, MOT
- Developmentally Disabled Services Day Training Agency
- Lompoc, CA
National Provider Identifier
1821170713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 3567 O.T
- Practice address
- 330 S K St # B
Lompoc, CA 93436-7230 - Phone
- (805) 735-7291
- NPI assigned
- Oct 19, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3567 THERAPY SERVICE | CA | |
| Developmentally Disabled Services Day Training Agency | 251C00000X | 3567 O.T | CA | Primary |
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
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 |
|---|---|---|---|
| 3567 THERAPY SERVICE | CA | MD | Specialist |
| 3567 O.T | CA | MD | Developmentally Disabled Services Day Training Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1821170713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1293",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934381293",
"telephone_number": "818-212-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S K ST # B",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934367230",
"telephone_number": "805-735-7291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZANY",
"first_name": "SHEREEN",
"name_prefix": "Ms.",
"credential": "OTR / L, MOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "3567 THERAPY SERVICE",
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "CA",
"license": "3567 O.T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.